Field Reimbursement Manager Northeast

The EVERSANA/Theratechnologies Field Reimbursement Manager (FRM) plays a critical role in minimizing access and reimbursement barriers for patients and healthcare providers to ensure timely access to the product portfolio. By addressing complex patient access challenges the FRM serves as a trusted resource for private practices multi-specialty groups and facilities supporting them throughout the reimbursement cycle. This role collaborates closely with Market Access Patient Services and Field Sales teams to ensure seamless patient drug accessibility and delivers compliant patient-focused solutions to optimize access. 

ESSENTIAL DUTIES AND RESPONSIBILITIES: 
Our employees are tasked with delivering excellent business results through the efforts of their teams.  These results are achieved by: 

• Proactively address patient access barriers by working with customers and accounts to resolve complex reimbursement issues including prior authorizations appeals and denials. 
• Educate private practices multi-specialty groups facilities and their staff on reimbursement support programs coverage coding and payer policies. 
• Partner with internal and external stakeholders to identify anticipate and address patient and practice reimbursement challenges. 
• Collaborate cross-functionally with Market Access Patient Services and Field Sales to provide compliant support for patients access to therapy. 
• Deliver clear and actionable information to practice managers billing staff nurses and reimbursement teams to improve their understanding of payer policies and processes. 
• Provide real-time communication on payer policy updates and system changes that impact patient access in assigned accounts. 
• Conduct regular reviews with practices to understand their utilization of reimbursement support services and recommend program enhancements based on customer needs. 
• Handle patient health information (PHI) in accordance with HIPAA guidelines and company compliance policies. 
• Demonstrate a commitment to diversity equity and inclusion through continuous development modeling inclusive behaviors and proactively managing bias.   
• Maintain a deep understanding of policies industry trends and the legal and compliance aspects of reimbursement applying this knowledge to all responsibilities. 
• Ensure a compliant relationship with state local and institutional societies while educating and supporting practices and accounts. 
• Share insights into customer needs potential access barriers and payer trends with internal teams to drive actionable improvements. 
• All other duties as assigned  

Qualifications :

MINIMUM KNOWLEDGE SKILLS AND ABILITIES: 

The requirements listed below are representative of the experience education knowledge skill and/or abilities required.  

• Education: Bachelors Degree 
• Experience and/or Training: 
• Proven experience in resolving complex patient access challenges including prior authorizations appeals and denials. 
• Strong knowledge of the US healthcare system reimbursement policies and patient assistance programs. 
• Familiarity with the appropriate handling and use of PHI under HIPAA and other relevant legal frameworks. 
• Expertise in sales sales management marketing training market access or account management 
• Demonstrated ability to collaborate cross-functionally and manage stakeholder relationships effectively. 
• Ability to analyze customer insights and market dynamics to adapt strategies for patient access and support. 
• Willingness to travel as needed for field activities meetings and conferences 
  including overnight travel (>75%)
• All other duties as assigned

Personal Qualities For All Staff

• Ability to set goals and deliver agreed objectives under tight timelines
• Ability to prioritize
• Ability to generate ideas and find solutions
• Ability to work both alone and in a team
• Team spirit and tendency to help each other
• Versatility and flexibility
• Exceptional organizational skills
• Ability to assemble and lead cross-functional teams toward a shared vision of success

Additional Information :

OUR CULTURAL BELIEFS

Patient Minded I act with the patients best interest in mind.

Client Delight I own every client experience and its impact on results.

Take Action I am empowered and hold myself accountable.

Embrace Diversity I create an environment of awareness and respect.

Grow Talent I own my development and invest in the development of others. 

Win Together I passionately connect with anyone anywhere anytime to achieve results.

Communication Matters I speak up to create transparent thoughtful and timely dialogue.

Always Innovate I am bold and creative in everything I do.

Our team is aware of recent fraudulent job offers in the market misrepresenting EVERSANA. Recruitment fraud is a sophisticated scam commonly perpetrated through online services using fake websites unsolicited e-mails or even text messages claiming to be a legitimate company. Some of these scams request personal information and even payment for training or job application fees. Please know EVERSANA would never require personal information nor payment of any kind during the employment process. We respect the personal rights of all candidates looking to explore careers at EVERSANA.

From EVERSANAs inception Diversity Equity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths experiences and backgrounds who share a passion for improving the lives of patients and leading innovation within the healthcare industry. Diversity not only includes race and gender identity but also age disability status veteran status sexual orientation religion and many other parts of ones identity. All of our employees points of view are key to our success and inclusion is everyones responsibility.

Consistent with the Americans with Disabilities Act (ADA) and applicable state and local laws it is the policy of EVERSANA to provide reasonable accommodation when requested by a qualified applicant or candidate with a disability unless such accommodation would cause an undue hardship for EVERSANA. The policy regarding requests for reasonable accommodations applies to all aspects of the hiring process. If reasonable accommodation is needed to participate in the interview and hiring process please contact us at .

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Remote Work :

Yes

Employment Type :

Full-time