Field Reimbursement Manager - Boston
Company: United Therapeutics
Location: New York
Posted on: May 28, 2023
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Job Description:
The job details are as follows:
What We Do
We build on the strength of our research and development expertise
and a distinctive, entrepreneurial culture that encourages
diversity, innovation, creativity, sustainability, and, simply,
fun. Since inception, our mission has been to find a cure for
pulmonary arterial hypertension and other life-threatening
diseases.
Toward this goal we have successfully gained FDA approval for five
medicines, we are always conducting new clinical trials, and we are
working to create an unlimited supply of manufactured organs for
transplantation.
We are the first publicly-traded biotech or pharmaceutical company
to take the form of a public benefit corporation (PBC). Our public
benefit purpose is to provide a brighter future for patients
through (a) the development of novel pharmaceutical therapies; and
(b) technologies that expand the availability of transplantable
organs. At the same time, we seek to provide our shareholders with
superior financial performance and our communities with
earth-sensitive energy utilization.
Our company was founded by an entrepreneur whose daughter was
diagnosed with a life-threatening condition. She sought to find
treatment options and a cure for her daughter and patients like
her. We are founder-led, and relentless in our pursuit of
"medicines for life". We continue to research and develop
treatments for cardiovascular and pulmonary diseases, and other
orphan diseases.
How you'll contribute
The Field Reimbursement Manager (FRM) is a customer-facing role
that will be responsible for managing defined accounts within a
specific region or territory, to support access for providers and
patients. The role will provide education to healthcare providers
and office staff on access services and reimbursement solutions
specific to United Therapeutics' products. The FRM will demonstrate
a compliant and consultative approach providing education to
offices related to insurance authorization and/or reimbursement of
products for appropriate patients.
This territory includes New York, New Jersey, Connecticut,
Massachusetts, Vermont, New Hampshire, Rhode Island and
Maine.
Manage defined accounts within a specific region or territory, to
support access for providers and patients including providing
education to healthcare providers and office staff on access
services and reimbursement solutions specific to United
Therapeutics' products. Execute a region or territory strategic
plan through partnership with internal and external stakeholders,
which may include call center / HUB services (ASSIST- Access
Solutions and Support Team), market access, and/or other matrix
field partners. Serve as the payer expert for a defined geography
and communicate payer changes to key stakeholders in a timely
manner.
Ensure the understanding of the reimbursement process, specialty
pharmacies, field reimbursement services, and UT's patient support
program, ASSIST, with providers and patients. Advise on patient
level reimbursement issues in compliance with policies and
well-defined Rules of Engagement. Abide in a compliant manner and
work closely within a defined set of Rules of Engagement.
Manage daily activities that support appropriate patient access to
United Therapeutics' products in the provider offices and work as a
liaison to other patient assistance and access support services
offered by United Therapeutics (i.e. ASSIST).
Serve and support customers and patients as an extension of ASSIST
as appropriate, and provide in-person customer visits; review
specific patient case information in a compliant manner.
Participate in cross-matrix meetings as appropriate. Participate in
regularly scheduled team meetings and calls. Input call activity
into customer relationship management tool (CRM).
Provide office education and awareness during the entire access
process which may include formulary coverage/utilization management
criteria, insurance forms & procedures, benefits investigation,
prior authorization, appeal, and/or claims resolution.
Educate physician office staff on the use of ASSIST patient support
services using UT approved educational materials, including
web-based provider portals and other tools/resources as
available.
All other duties as assigned.
For this role you will need
Minimum Requirements
Bachelor's degree (BA/BS)
10+ years of general industry experience
3+ years of experience in Market Access and Field Reimbursement
supporting specialty products
Experience with specialty/biologic products and/or complex
reimbursement process
Solution oriented mindset, strong business acumen, & strong
analytic capabilities
Experience educating HCPs on client specific Patient Service
programs (i.e. copay, nurse education, patient assistance,
etc.)
Ability to manage greater than 50% travel
Preferred Qualifications
Experience in the therapeutic area of Cardiology or Pulmonology
Rare & Orphan drug experience
Experience delivering educational presentations in person and/or
via technology platforms such as Zoom, Webex, and/or Teams
Advanced knowledge of medical insurance terminology
Knowledge of Centers of Medicare & Medicaid Services (CMS) policies
and processes with expertise in Medicare (Part B and Part D)
At United Therapeutics, you'll realize quickly that it is not an
ordinary place to work! When you join our company, you will learn,
grow, contribute, have fun, and be challenged... all while making a
difference in the lives of our patients.
Applicable to New York and New York City Applicants Only:
The salary range for this role is$130,000 - $210,000
This role is also eligible for the Company's incentive plan
The Company also offers benefits as outlined to eligible employees:
https://www.unither.com/careers-benefits.html
The salary range is the range United Therapeutics Corporation in
good faith believes is the range of possible compensation for this
role at the time of this posting depending on the candidate's
experience, qualifications, seniority, geographic location, and
other factors permitted by law. The Company may ultimately pay more
or less than the posted range. This range is only applicable for
jobs to be performed in Colorado. This range may be modified in the
future. No amount is considered to be wages or compensation until
such amount is earned, vested, and determinable under the terms and
conditions of the applicable policies and plans. The amount and
availability of any bonus, commission, benefits, or any other form
of compensation and benefits that are allocable to a particular
employee remains in the Company's sole discretion unless and until
paid and may be modified at the Company's sole discretion,
consistent with the law.
#LI-Remote
While United Therapeutics does not require vaccination for Covid-19
at this time, we strongly encourage all employees and visitors to
remain up to date on vaccinations and boosters to protect one
another from illness. Employees working in customer-facing roles
must adhere and comply with customers' credentialing guidelines,
which may require vaccination against Covid -19, the influenza
virus, and other illnesses that could be harmful to healthcare
staff and patients.
United Therapeutics Corporation is an Equal Opportunity/Affirmative
Action Employer - EOE Minorities / Females / Protected Veterans /
Individuals with Disabilities
We strive to be an organization that engages the minds, hearts, and
most spirited efforts of each of our employees. Our sense of
purpose transforms what we do from work into mission, occupation
into vocation and achievement into success.
We challenge our employees with innovative and revolutionary
projects, offer an environment which fosters high-level job
performance and provide a highly competitive total rewards package.
This is what makes United Therapeutics a stimulating place to
work.
Keywords: United Therapeutics, New York , Field Reimbursement Manager - Boston, Executive , New York, New York
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