Field Reimbursement Manager

Field Reimbursement Manager page is loaded## Field Reimbursement Manager locations:
Houston, TX:
Dallas, TX:
San Antonio, TXtime type:
Full time posted on:
Posted Yesterday job requisition :
JR35064

The Field Reimbursement Manager (FRM) will be responsible for educating healthcare providers (HCPs) and their staff on product-specific prior authorization and appeals processes, including how to access necessary forms and submission procedures. Field Force Collaboration will be critical for this role. The FRM is a field-based employee who will work accounts within a signed geographical region. This role supports a product within the men’s health space.

The Field Reimbursement Manager will be a key member of both the client and Inizio Engage Patient Solutions teams. This role reports to the Director, Field Reimbursement.
* Competitive compensation
* Excellent Benefits – accrued time off, medical, dental, vision, 401k, disability & life insurance, paid maternity and paternity leave benefits, employee discounts/promotions
* Employee discounts & exclusive promotions
* Recognition programs, contests, and company-wide awards
* Exceptional, collaborative culture
* Best Places to Work in Bio Pharma (2022, 2023, & 2024)
* Certified Great Place to Work (2022, 2023, 2025)
* Educate HCPs and appropriate office staff about product specific prior authorization & appeals process, how to access related forms, and high-level information about submission procedures and reauthorization requirements.
* Work with in-network Specialty Pharmacies on cases where the patient has provided consent.
* Educate HCPs and appropriate office staff on specific referral processes and patient assistance programs.
* Work closely with sales and other matrix partners to identify additional accounts with need for education.
* Utilize approved resources and FAQs to provide education and answer questions as needed.
* Solid understanding of reimbursement issues that work within our core classes of trade:  + Commercial Managed Care (Regional Plans)  + Medicaid (Fee for Service, Managed Care Organizations)  + Medicare (Part A, B, C, D; Carriers)  + Veteran’s Administration (VISNs)  + TRICARE Regional Offices  + Specialty Pharmacy & Pharmacy Benefit Managers  + ACOs and other Integrated Delivery Networks (IDNs)  + Advocacy, consumer, provider and treatment systems groups
* Document interaction details within CRM with attention to data integrity to ensure compliance with program policies and business rules.
* Maintain confidentiality of Patient Health Information (PHI) and act in compliance with all laws, regulations, and company policies.
* Adhere to all Inizio and client policies, procedures, business rules, and call guides, as well as applicable laws.
** Requirements for this position
*** BS/BA required.
* 3+ years of relevant experience in – reimbursement and patient access, market access, specialty pharmacy, or physician/system account management.
* Proven success operation in a field-based role
* Experience in endocrine or men’s health disorders preferred.
* Strong knowledge and understanding of payer reimbursement models (medical and pharmacy), prior authorization and appeal requirements, coding changes, appropriate claim submission, integration of HUB and patient assistance programs
* Maintains compliance with program business rules, standard operating procedures and guidelines
* Highly organized with excellent attention to detail and the ability to multi-task in engaging both patients and providers.
* Passionate about learning and able to share/communicate that passion to others.
* Experience engaging HCP staff in a support role to educate on access pathways and product requirements.
* Experience navigating payer reimbursement process, preferably Medicare Part D (pharmacy benefit design and coverage policy).
** Location
* * This is a home-office based role that requires regular travel within an assigned geographical area. Occasional overnight travel to client or Inizio offices may be required.
** About Inizio Engage
** Inizio Engage is a strategic, commercial, and creative engagement partner that specializes in healthcare. Our passionate, global workforce augments local…