Field Reimbursement Manager

About Us

JOB DESCRIPTION

Welcome to ANI Pharmaceuticals, where we are dedicated to improving and enhancing patients' lives through the manufacturing and distribution of high-quality pharmaceutical products. With a diverse portfolio of generic and branded pharmaceuticals, ANI is a trusted partner for healthcare providers, pharmacists, and patients alike. We understand the importance of accessibility, and our products are available across a wide range of therapeutic areas, contributing to the well-being of communities globally.

At ANI Pharmaceuticals, there are opportunities to contribute to our purpose every day. We value authenticity, knowledge, and hard work, we strive to celebrate our employees in a positive environment. Our culture empowers everyone to be successful and apply our full potential.

About The Role

The Field Reimbursement Manager (FRM) is a key contributor to the overall patient support program for Purified Cortrophin Gel. The FRM is an extension of the overlapping reimbursement director and assists with facilitating treatment access for patients. This work would include communicating with the case management team conducting benefit investigations, educating health care providers on the prior authorization and appeal process, and coordinating other patient services.

Responsibilities

• Reports to a director on the field reimbursement team for development and mentoring
• Provides proactive education to health care provider on the insurance requirements for a patient’s prescription
• Works with Hub case manager and in-network Specialty Pharmacies on prior authorization requirements and communication with HCP and patients
• Coordinates communication and activities with Nurse Access Specialist colleagues
• Facilitates patient assistance when applicable, such as copay and free goods
• Partners with managed care colleagues to understand policies and highlight new trends
• Collaborates with sales colleagues when appropriate and as directed by Compliance policies
  
  

Requirements

• Relevant post-secondary education or applicable certifications
• Minimum 3 years' of experience working with specialty medications – either in pharma, at a provider’s office or with an insurance payer
• Demonstrated expertise with both pharmacy and medical benefits in a specialty disease market
• Strong collaboration with Hub partners and cross-functional colleagues
• Familiarity with OIG guidance, HIPAA guidelines and FDA protocols
• Possesses a sense of urgency to address critical access issues for patients
• Problem-solver who navigates challenging access scenarios and identifies solutions
• Takes initiative to move a patient case forward at all times
• Strong interpersonal and communication skills
• Ability to travel up to 25% with some evening and weekend commitments