Field Reimbursement Executive Northwest
San Francisco, CA - USA
Job Summary
Make your mark for patients
We are looking for aField Reimbursement Executiveto join us in ourField Access & Reimbursement teamin support of the following territory:Northwest
Preferred location to reside in:Any major city in the Northwest (N. California Reno Portland Seattle)
Territory:N. California Washington Oregon Idaho Nevada Alaska
Ability to travel:50-75%
About the role
The Field Reimbursement Executive (FRE) is responsible for ensuring that appropriate patients have access to UCB products and Patient Services. The FRE will work with all engaged sites of care within assigned geography to inform them on matters related to access and reimbursement of UCB products.
Who youll work withThe FRE will serve as a liaison to all engaged sites of care administering UCBs medication through a patients medical benefit and pharmacy benefit. They provide support to patients and accounts specific to benefit verifications product procurement processes reimbursement information billing coding and coverage details after clinical decisions have been made.
What youll do
- Responsible for communicating market dynamics coverage billing coding and reimbursement policies with all Healthcare Professionals in all sites of care involved in a patient journey for both patients whom receive their medications via injection by a healthcare professional (Medical Benefit) as well as patients that self-administer (Pharmacy Benefit).
- Provide Federal State or Commercial payer specific guidance on a National Regional and local level regarding the coverage policy and appropriateness of codes for billing accuracy.
- Coordinate the benefit verification referral process with UCBs service center(s) and deliver timely and accurate follow up to account stakeholders to help ensure patient access to UCB medicines.
- Educate accounts and coordinate with service center(s) on the availability of patient support programs such as Co-Pay Assistance and the Patient Assistance Program.
- Develop state level Key Access Stakeholder relationships with Healthcare Professionals who will advocate to Medicare Part A/B Commercial and State Payers for medical benefit access to UCB products for patients.
- Develop strategic coverage access and reimbursement relationships with their local Medicare Part A/B Contractors operating in assigned territory.
- Provide strategic coverage/reimbursement leadership and support to the internal UCB District Sales Managers and other members of the UCB Patient Value Teams.
- Communicate on a regular basis with their Market Access and Pricing colleagues on Payer coverage and reimbursement related issues and identify policy changes and carve outs that have material impact on UCB product access.
Interested For this role were looking for the following education experience and skills
Required:
- Bachelors Degree
- 8 years of experience in biopharmaceutical or related fields
- Prior experience in one or more of the following areas: Market Access Sales Leadership. Medical Affairs Account Management Patient Access
- Experience in Rare Diseases Oncology Immunology or other therapeutic areas requiring advanced medical knowledge and complex medical treatment support.
- Experience with HUB services for patient referrals benefit verification coverage and affordability for specialty and biologic medications
Preferred:
- 4 years of experience in Coverage/Access Reimbursement or Account Management or equivalent experience in related healthcare pharmaceutical or payer environments.
- Demonstrated ability to navigate complex healthcare systems manage stakeholder relationships and drive access solutions.
- Strong understanding of U.S. and State regulatory environments including evolving payer coverage access and reimbursement practices.
- Knowledge of the US payer and reimbursement systems including Commercial Insurers Pharmacy Benefits Managers Specialty Pharmacies Medicare & Medicaid Services (CMS) policies especially Medicare Parts B and D Medicaid (fee for service and managed).
This positions reasonably anticipated base salary range is $155000-$203000. The actual salary offered will take into account related knowledge skills experience and location among other factors and may fall outside the expected range.
Are you ready to go beyond to create value and make your mark for patients If this sounds like you then we would love to hear from you!
About us
UCB is a global biopharmaceutical company focusing on neurology and immunology. We are over 9.000 people in all four corners of the globe inspired by patients and driven by science.
Why work with us
At UCB we dont just complete tasks we create value. We arent afraid to push forward collaborate and innovate to make our mark for patients. We have a caring supportive culture where everyone feels included respected and has equal opportunities to do their best work. We go beyond to create value for our patients and always with a human focus whether thats on our patients our employees or our planet. Working for us you will discover a place where you can grow and have the freedom to carve your own career path to achieve your full potential.
At UCB weve embraced a hybrid-first approach to work bringing teams together in local hubs to foster collaborative curiosity. Unless explicitly stated in the description or precluded by the nature of the position roles are hybrid with 40% of your time spent in the office.
UCB is an equal opportunity employment decisions will be made without regard to any characteristic protected by applicable federal state or local law. UCB invites you to voluntarily self-identify during the application process. Provision of self-identification information is entirely voluntary and a decision to provide or not provide such information will not have any effect on your application for employment your employment with UCB or otherwise subject you to any adverse treatment. Any information you provide will be considered confidential and will be kept separate from your application and/or personnel file and will only be used in accordance with applicable laws orders and regulations.
Should you require any adjustments to our process to assist you in demonstrating your strengths and capabilities contact us on for application to US based roles. Please note should your enquiry not relate to adjustments; we will not be able to support you through this channel.
About Company
UCB – Inspired by patients. Driven by science. At UCB, we put our heart, soul and skills into making a difference for people living with severe diseases. We're here because we want to transform patients’ lives by pushing the boundaries of what is possible.To achieve our ambition, we w ... View more