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Field Reimbursement Manager

Employer
Coherus BioSciences
Location
Florida City, Florida
Start date
Mar 24, 2023

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Discipline
Administration, Finance
Required Education
Bachelors Degree
Position Type
Full time

Job Details

Title:                            Field Reimbursement Manager
Reports To:                 Sr. National Director, Field Reimbursement
Location:                     Field-based in the Southeast Region (FL,GA,AL,TN)
Classification:             Exempt
 

Position Summary: 

The Field Reimbursement Manager (FRM) helps minimize access & reimbursement barriers for patients and providers to optimize access to Coherus’ complete product portfolio. Within their geography, the FRM is responsible for addressing access barriers by strategically working with customers and accounts to solve the most complex patient access issues through all facets of the reimbursement cycle. The FRM proactively provides education and support on Coherus reimbursement support programs (Coherus COMPLETE) to practices, facilities, and their staff.

As a member of the front-line field team, they serve as the key contact responsible for reimbursement and access support-related matter.  The FRM will provide education and support the integration of account implementation plans for Coherus products within practices and sites of care where applicable.  Additionally, the FRM will analyze reimbursement and access issues and act as the local access and reimbursement resource for internal Coherus partners in their assigned geography. The FRM will coordinate cross functionally across Corporate Accounts, Patient Services and Field Sales to support patient drug accessibility.

 Key responsibilities include:

  • Partner with internal and external stakeholders to identify, anticipate and address patient and practice reimbursement issues
  • Collaborate with Field Sales to identify facilities and practices that need reimbursement education and support regarding Coherus products.  
  • Provide insights and updates regarding product and support service integration at accounts.
  • Educate facility staff on policies related to product acquisition, inventory management, and all payer polices related to support full integration of product into the practice workflow.
  • Provide coverage, coding, and reimbursement information to key staff members (i.e., practice administrators, reimbursement staff, and providers) in order to appropriately support patient access.
  • Collaborate with field facing “One Team” to compliantly share insights into customer needs, potential barriers, and payer issues/opportunities for access at practices.
  • Communicate and explain payer policy updates or system changes that impact access.
  • Proactively communicate Coherus COMPLETE so that office staff is fluent in how to use patient access programs and services.
  • Address questions associated with patient coverage, access, and reimbursement from accounts in collaboration and coordination with patient services as directed by policy and procedure.
  • Conduct frequent claim reviews with practices to ensure appropriate reimbursement of Coherus products.
  • Maintain a deep understanding of Coherus policies and requirements and perform the role in a compliant manner consistent with company guidance. 
  • Keep abreast of customer and market access industry trends. 

 

Experience:

  • 5+ years of commercial experience in the pharmaceutical or biotech industry.
  • 3+ years of experience in healthcare coverage, coding and/or reimbursement.
  • Direct eExperience with Buy and Bill products, Medicare Part B and Miscellaneous J-Codes required.
  • Retina and/or Oncology experience strongly preferred.
  • Bachelor's degree from a four-year college or university.

Skills, Knowledge & Abilities:

  • Previous experience working with billing and medical claims personnel in various health care settings, including physician office, hospital, HOPD and ASC.
  • Shown expertise in supporting healthcare provider offices with coding, billing, and submissions in range of payer environments.
  • Well versed with implementing and executing Medicare, Medicaid, and other payer initiatives.
  • Familiar with CPT, HCPCS, ICD-10 revenue codes.
  • Familiarity with health insurance claim forms, explanation of benefits, prior authorization forms, and EMR systems, to troubleshoot cases where billing, claims submission or documentation errors may occur.
  • Ability to analyze, interpret and understand regulatory and legislative payer and healthcare policies.

Travel Requirements:

  • Candidate must reside within assigned territory and have the ability to travel up to 70%.

 

The Base Salary Range for this position is $165,000 to $190,000. Coherus considers various factors, including professional background and work experience, when determining base pay. These considerations mean actual compensation will vary.

Beginning July 19, 2021, Coherus BioSciences requires all new hires to be fully vaccinated against COVID-19 as of their start date.  This requirement is a condition of employment at Coherus BioSciences, and it applies regardless of whether the position is located at a Coherus BioSciences facility or is fully remote.  If you are unable to receive the vaccine due to a disability or serious medical condition, or because it is prohibited as a result of your sincerely held religious beliefs, you will have an opportunity to request a reasonable accommodation. 

Company

Coherus is focused on expanding patient access to important, cost-effective medicines and delivering significant savings to the U.S. healthcare system. Every member of the Coherus team is dedicated, motivated, and passionate about expanding patient access to lifesaving therapeutics. Our colleagues are experts in analytical and process sciences, deeply experienced in clinical development and regulatory affairs, and have proven commercial and marketing capabilities. Everyone at Coherus is committed to meeting the highest standards, inspiring our teammates, and achieving our goals.

Coherus was founded a decade ago to provide the highest quality biosimilar treatments to patients. We are proud to now be expanding our legacy—to build on our success with biosimilars and to focus our core strengths on immuno-oncology.

At Coherus, our employees are our most important asset. We have a dynamic and rewarding organizational culture that offers the opportunity to work with leading industry professionals who are dedicated to making a difference for patients. We are looking for individuals who see unlimited potential in themselves and are motivated by a continuous passion for breaking down barriers and expanding access to lifesaving therapeutics.

Coherus offers a competitive total rewards program comprised of various elements, including competitive base pay, short- and long-term incentives in the form of performance-based cash and equity, as well as health and wellness benefits that include

•    Healthcare: Coherus pays 90% of premiums for medical, dental, and vision coverage for our

     employees, their eligible spouses, dependents, and domestic partners.
•    Health Savings and Flexible Spending Accounts
•    Group Life, Disability, and Group Accident Insurance
•    401(k) with company match, and an Employee Stock Purchase Plan (ESPP)
•    Paid Time Off (PTO) 
•    Health & Wellness programs, including a Health Club Reimbursement and an Employee Assistance Program
 

Health & Wellness programs, including a Health Club Reimbursement and an Employee Assistance Program

In addition to providing attractive rewards packages, we encourage and support our employees to find the right balance of work and personal time. Coherus offers a variety of activities, perks, and holidays that encourage employees to have a healthy outlook, spend time outside of work with friends and family, and foster a productive and collaborative work environment. Our culture is one in which we challenge and support all our team members to do their best work.

For more information about Coherus, please check out: https://www.coherus.com/about-coherus/

Company info
Website
Phone
800-794-5434
Location
333 Twin Dolphin Dr, #600
Redwood City
CA
94065
US

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