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Inizio Engage

Provides integrated data insights for pharma

Virtual Field Reimbursement Manager

Customer SupportPosted on Nov 9
Full-timeRemote in USA$98k - $182k /yr

About the Job

Requirements

  • A BS/BA degree is required.
  • Proven success operating in a virtual environment is required.
  • At least 3 years of relevant experience in reimbursement and patient access, market access, specialty pharmacy, or physician/system account management, and at least 5 years of total healthcare industry experience are required.
  • Experience engaging healthcare provider staff in a support role to educate them on access pathways and product requirements is required.
  • Experience navigating payer reimbursement processes, including commercial and Medicare Part D pharmacy benefit design and coverage policy, is required.
  • Experience with specialty products acquired through specialty pharmacy networks is required.
  • Proficiency in Microsoft Office, including Word, Excel, PowerPoint, and Outlook, and Google Suite products is required.
  • English is required.

Responsibilities

  • Engage healthcare providers and appropriate office staff to educate them about access to prescribed treatments within the specialty pharmacy channel, including initial access, insurance approval, and reauthorizations related to product initiation.
  • Educate healthcare provider office staff about prior authorization and appeals processes, how to access related forms, and high-level submission procedures and reauthorization requirements.
  • Formulate and implement an educational framework to upskill field partners, including Clinical Specialists and District Managers, in navigating simple to moderately complex access challenges.
  • Work compliantly and proactively to identify and resolve patient access and reimbursement issues within the assigned geography.
  • Provide appropriate factual process information to healthcare provider offices using Personal Health Information, with appropriate patient consent.
  • Serve as the reimbursement expert for patient support services for assigned geography and plans.
  • Use approved resources and call guides or FAQs to provide education and answer questions as needed.
  • Conduct ongoing payer policy reviews and contribute local, regional, and national policy insights to key stakeholders and client leadership.
  • Virtually manage assigned accounts and align with key stakeholders on ongoing support needs.
  • Document call details accurately to ensure data integrity and compliance with program policies and business rules.
  • Navigate the CRM platform in daily interactions and learn internal team processes.
  • Maintain the confidentiality of Patient Health Information and comply with applicable laws, regulations, and company policies.
  • Triage appropriate escalations to the manufacturer leadership team in accordance with program design and business rules.
  • Complete and attend required training, and adhere to Inizio and client policies, procedures, business rules, call guides, and applicable laws.

Desired Qualifications

  • Ophthalmology and self-injectable experience is preferred.
  • Spanish is highly preferred.

About the Company

Inizio Engage

Provides integrated data insights for pharma

Inizio Engage provides integrated data and insight solutions for the pharmaceutical and biotechnology sectors, turning scattered data into cohesive analytics that support customer needs, commercial operations, and strategic goals. Its offerings span PROPENSITY4 for data integration and insights, and learning and capability brands such as Ashfield Excellence Academy, Axiom, Cormis, and Logicearth that deliver training, communications, and skill-building. The company combines data analytics with targeted training and talent development to apply insights through training programs and decision-support services for pharma commercial and medical teams. Its goal is to help patients, healthcare professionals, and pharma companies make better health decisions, optimize operations, and improve patient outcomes while gaining competitive advantage.

Company size
501-1,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Upper Dublin Township, Pennsylvania
Founded
Not listed

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