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Field Reimbursement Manager - Boston

Company: United Therapeutics
Location: New York
Posted on: May 28, 2023

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:

        • 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.

          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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