Field Reimbursement Manager- Philadelphia/Baltimore

Astrazeneca Philadelphia , PA 19107

Posted 2 months ago

At AstraZeneca, we turn ideas into life changing medicines. Working here means being entrepreneurial, thinking big and working together to make the impossible a reality. We're focused on the potential of science to address the unmet needs of patients around the world. We commit to those areas where we think we can really change the course of medicine and bring big new ideas to life. As Field Reimbursement Manager- Oncology, you'll play a pivotal role in channeling our scientific capabilities to make a positive impact on changing patients' lives. North American Commercial is the 'face' of AstraZeneca and MedImmune to our many healthcare clients. They represent many of the most well recognized and respected products in the industry, and build strong relationships with healthcare professionals.

The general purpose of the Field Reimbursement Manager (FRM) role is to minimize reimbursement barriers for patients and providers and, therefore, support access to Astra Zeneca products in the Oncology therapeutic area. This purpose will be achieved by delivering high quality interactions with key physicians, accounts and institutional customers through specialized services. The FRM's must have a strategic mindset and complex problem-solving skills, to be successful in their role.

FRMs will work directly with and across several different internal departments and cross-functional partners including Managed Markets, Access Services, Key Accounts, Trade & Channel as well as Sales & Marketing supporting accounts in resolving challenging reimbursement cases and issues for AZ's oncology portfolio. FRM's are expected to develop and execute ethical and customer-oriented reimbursement strategies for multiple products across the AZ portfolio. They are expected to demonstrate market expertise in communicating payer criteria/terms and practices, as these relate to assigned AZ products.

As all other employees, FRMs are fully accountable for compliance with all laws, regulations, and policies that govern the conduct of Astra Zeneca activities.

Job Requirements:

  • Does not compromise ethics or integrity, or undertake legal risks while pursuing business goals

  • Demonstrates ability to lead without authority across a large number of peers and multiple brands through consistent application & modeling of appropriate compliance, behavior & conduct

  • High level of Field Based Reimbursement and/or access services related experience

  • Experience with physician administered injectable/ infusible in Oncology therapeutic area, specifically Medicare Part B.

  • Demonstrates excellent reimbursement expertise and payer knowledge across multiple products and several states

  • Demonstrates knowledge and experience with legal and regulatory requirements related to the complex biologics and the buy and bill marketplace

  • Experience w large territory strategy development, planning, & support for multiple products and internal partners across several states

  • Spends majority of time visiting customer accounts in the field (Minimum 50-75% overnight travel by either air, car or train)

  • Works with manager, peers and internal partners in Marketing, Sales and various Managed Markets and Trade groups to review and contribute to relevant franchise and managed care business plans, tactics, goals and objectives

  • With appropriate information, identify trends and emerging issues, align resources to address the issue, and communicate resolution to the customer/field in a timely fashion

Job Knowledge:

  • Maintain a high level of Managed Care and related Managed Markets benefit structures, reimbursement mechanisms, legal and regulatory influences, and health management programs.

  • Maintain consistent ability to access and influence key business decision makers.

  • Maintain a high level of industry awareness.

  • Maintain an outstanding level of Multiple Therapeutic Area knowledge, utilization management techniques, and treatment and reimbursement guidelines.

  • Maintain an outstanding level of performance metric analytics.

  • Maintain a comprehensive and detailed Territory Plan.

  • Maintain an outstanding ability to prepare and present provider level communications.

Planning and Analysis:

  • Maintain an outstanding level of Strategic territory planning, organization, and administrative skills.

  • Manage territory and all assigned accounts within set budget.

  • Develop and justify budgeting requests for specific customer programs.

Communications:

  • Demonstrate strong oral, written, and group communication skills.

  • Ability to lead without authority across significant number of cross-functional partners by maintain frequent contact with Field Leadership and local field staff.

  • In a timely and accurate manner, submit all budgetary information, expenses reports, and required administrative reports to Field Leadership.

  • Maintain effective communication with customers and affiliates.

  • Leads courageous conversations with an enterprise mindset

  • Seek out and maintain an effective level of communication with account stakeholders and decision makers.

Requirements:

  • Bachelor's Degree required

  • MBA or other related graduate-level degree is preferred

  • Minimum of 10 plus years of total business experience in the healthcare or pharmaceutical/biotech industry

  • Minimum of 6 plus years of sales, managed care or reimbursement experience in the healthcare or pharmaceutical/biotech industry is required

Preferred Experience / Background:

  • Eight years or more of Biotech or Pharmaceutical Sales experience

  • Four years of experience in the Oncology therapeutic area

  • Two years of Access Services, Reimbursement and/or Managed Markets experience

  • Significant and documented experience with business planning and market analysis

  • Minimum 2 years' experience with buy & bill physician administered specialty products

Next Steps -- Apply today!

To be considered for this exciting opportunity, please complete the full application on our website at your earliest convenience -- it is the only way that our Recruiter and Hiring Manager can know that you feel well qualified for this opportunity. If you know someone who would be a great fit, please share this posting with them.

AstraZeneca is an equal opportunity employer. AstraZeneca will consider all qualified applicants for employment without discrimination on grounds of disability, sex or sexual orientation, pregnancy or maternity leave status, race or national or ethnic origin, age, religion or belief, gender identity or re-assignment, marital or civil partnership status, protected veteran status (if applicable) or any other characteristic protected by law.


See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Field Reimbursement Manager Philadelphia

Amerisourcebergen Corporation - Corporate

Posted 3 weeks ago

VIEW JOBS 10/23/2018 12:00:00 AM 2019-01-21T00:00 Field Reimbursement Managers (FRMs) at Xcenda assist provider offices in resolving complex coverage and reimbursement issues that may create barriers to access for patients. Our teams travel weekly, Monday – Thursday, to healthcare offices within a designated territory, using their knowledge of coverage, patient assistance, and health policy to educate office staff and break through access issues to ultimately help patients. As an FRM, a typical day might include: * Providing face-to-face, personalized issue resolution * Educating provider offices on local and regional payer issues, coding changes, and appropriate claims submission processes * Liaising with reimbursement hotlines regarding alternative funding/financial assistance programs * Assisting with determining coverage and access options available for a specific medication or procedure Xcenda, part of AmerisourceBergen, is an integrated, world-class consulting organization focused on value, reimbursement and patient access. Our company brings together a team of exceptional healthcare and business professionals whose multidisciplinary experience fulfills an unmet need in the marketplace. We provide customized solutions and innovative approaches that discover and communicate the value of pharmaceuticals and other healthcare technologies. * 5 years' experience with specialty providers in support of reimbursement * Technical knowledge of health care reimbursement from a patient and provider perspective (authorizations, miscellaneous J codes, billing coding, appeals process) * Live within 45 minutes of a major airport in the designated territory and be able to travel extensively (overnight - 80% of the time) within that territory which includes but is not limited to Philadelphia * Knowledge of private payer, Medicare and Medicaid structure systems and reimbursement process Amerisourcebergen Corporation - Corporate Philadelphia PA

Field Reimbursement Manager- Philadelphia/Baltimore

Astrazeneca