Vaccine Access & Reimbursement Manager (West)
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Job Location:
Los Angeles, CA - USA
Monthly Salary:
Not Disclosed
Posted on:
14 hours ago
Vacancies:
1 Vacancy
Job Summary
Summary / Scope:
Stratis Group is an independent pharmaceutical consulting firm that specializes in commercialization throughout a brands lifecycle our core passions include: market access patient services field reimbursement and data-driven analytics.
In this contracted role the Vaccine Access and Reimbursement Manager (VARM) is a client-facing and client-customer facing role that will be responsible for managing a dedicated territory to support access for provider and patients. This role will be highly visible within the organization and responsible for providing education to healthcare providers and office staff on access services and reimbursement solutions specific to a product and therapeutic area.
The VARM will execute a region or territory strategic plan through partnership with internal and external stakeholders which may include call center services (HUB) sales market access and/or other matrix field partners. Responsibilities include ensuring understanding of the reimbursement process field reimbursement services and clients patient support program. The VARM will also work on patient-level reimbursement issue resolution and thus will need access to and have had experience with patient health information (PHI). The VARM will abide in a compliant manner and will work closely within a defined set Rules of Engagement.
In this role the VARM will demonstrate a compliant and consultative approach to help offices obtain insurance authorization and/or reimbursement of products for appropriate patients. The VARM will have a direct impact on providing a positive experience for both the HCP Customer and Patient.
Key Responsibilities
Provider & Office Education
Educate healthcare providers and office staff on payer coverage coding and payment policies for a vaccine portfolio
Utilizing approved client materials provide product access and reimbursement expertise tailored to office needs.
Patient Access Support
Help offices understand and utilize Patient Support Programs that facilitate access for appropriate patients.
Analyze reimbursement barriers and provide guidance to resolve access challenges.
Cross Functional Collaboration
Collaborate internally with Retail and Non-Retail Account Directors Vaccine Sales teams and other partners within our clients Sales and Market Access teams.
Coordinate with third party entities such as hubs reimbursement services and distribution partners.
Leadership & Business Ownership
Manage daily activities that support appropriate access to our clients products.
Operate independently and manage multiple projects simultaneously in a dynamic environment.
Demonstrate leadership within the matrixed structure without direct reports.
Qualifications
4 year degree or 8 years in related healthcare roles and/or pharmaceutical or medical industry.
Ability to travel up to 60% including overnight travel.
Must live in reasonable proximity to the assigned territory.
Valid drivers license.
Strong customer focused mindset with demonstrated relationship building problem solving and project management skills.
Ability to independently manage multiple initiatives with a high degree of ownership.
Preferred Qualifications
Residence within 50 miles of a major metropolitan airport.
3 years of experience in one or more of the following areas: Managed Care Field Reimbursement Patient Services and/or Sales (Specialty Biologics or Vaccines) or healthcare provider practice management.
Reimbursement experience for vaccines or specialty infused/injected products in buy and bill settings across multiple sites of care.
In depth knowledge of the vaccine payer environment including commercial state federal and private third-party coverage and reimbursement methodologies.
Knowledge of provider office and hospital outpatient reimbursement environments policies and workflows.
Comprehensive understanding of reimbursement dynamics for Medicare Parts A B C D and state Medicaid.
Knowledge of HCPCS CPT and ICD 10 coding regulations.
Experience working with reimbursement hubs or support call centers to resolve patient access issues.
Required Experience:
Manager
Key Skills
- Business Development
- Company Policies
- Customer Service
- Financial Performance
- Revenue Growth
- Oversight
- Regional Sales
- Account Management
- Project Management
- Product Line
- Ensure Compliance
- Human Resources
- Procedures
- Sales Goals
- Direct Reports
About Company
Summary / Scope:Stratis Group is an independent pharmaceutical consulting firm that specializes in commercialization throughout a brand’s lifecycle, our core passions include: market access, patient services, field reimbursement, and data-driven analytics. In this contracted role, the ... View more
