Role Overview
The Field Reimbursement Manager is part of the Market Access group supporting Sun’s family of branded products in the United States. This primary goal of this role is to support appropriate patient access to care.
What You Will Do
The person in this role will monitor national and local healthcare payer policies, develop relationships with key advocacy leaders, state societies, and provide direct support to prescribing physicians, hospitals and support staff regarding reimbursement and product access and reimbursement dynamic within payer channels.
Why It Might Be a Fit
The Field Reimbursement Manager will execute local market plans to support field based priorities, collaborate with access services hub, managed markets team supporting patient access and local field sales teams, and have expertise in access and reimbursement issues encompassing coverage, prior authorizations, appeals, exceptions, denials, coding and payer payment guidelines.
Requirements
- A minimum of a Bachelor’s Degree
- 5 or more years of healthcare industry experience
- A minimum of 3 years’ experience in the healthcare industry including a strong understanding of but not limited to, insurance verification and / or claim adjudication, physician office and outpatient billing, medical benefit procurement, understanding of adjudication within Commercial and Government payers, buy and bill model, Medicare, Tricare , Medicaid and National and Regional Commercial payers.
Benefits
- Medical, dental and vision coverage
- Life insurance
- Disability insurance
- 401(k) savings plan
- Flexible spending accounts
- Employee assistance program
- Paid time off benefits, including vacation time and sick time
To apply for this job please visit careers.sunpharma.com.
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