Field Reimbursement Manager-Maryland/DC/VA-Market Access
3 weeks ago
The Field Reimbursement Manager is part of the Market Access group supporting Sun’s family of branded products in the United States. This primary goal of this role is to support appropriate patient access to care. This team focuses their efforts on supporting practices, accounts, and providers with necessary support materials and education to seek coverage to therapy for appropriate patients. Educational components include reimbursement (coverage, coding & payment), specialty pharmacy and distribution processes, provider support services (e.g., benefits investigation) and patient support resources (e.g., copay assistance programs, patient assistance programs) The person in this role will monitor national and local healthcare payer policies, develop relationships with key advocacy leaders, state societies, and provide direct support to prescribing physicians, hospitals and support staff regarding reimbursement and product access and reimbursement dynamic within payer channels.
The Field Reimbursement Manager will execute local market plans to support field based priorities. This will include understanding and educating on local health policy, reimbursement, billing / coding, and patient access issues. Field Reimbursement Managers will collaborate with his / her field partners to alleviate reimbursement and access issues impacting physician offices and the ability of patients to access Sun portfolio of products. The Field Reimbursement Manager will interact with access services hub, managed markets team supporting patient access and local field sales teams. The person in this role with have expertise in access and reimbursement issues encompassing coverage, prior authorizations, appeals, exceptions, denials, coding and payer payment guidelines , payer policies, sites of care, understanding of coding guidelines (CPT/J-Code/ICD-10), statutory or commercial pricing structures or mandates, and quality programs related to value based care and clinical care pathways.
Responsibilities include:
• Incorporate knowledge of dynamic and complex marketplace and business trends to deliver maximum access to the portfolio of Sun products.
• Has a deep understanding of medical vs pharmacy benefit and policy
• Understands the dynamics of Specialty pharmacy and specialty distribution
• Demonstrates a broad and wide understanding of the physician buy and bill model vs assignment of benefits to alternate sites of care
• Understands and is able to establish alternate sites of care to support patient options.
• Possess expertise in Medicare policies and the variations within all parts of Medicare
• Ensure processes are in place to drive clear communication with sales teams to ensure clarity of reimbursement and access issues and opportunities and support pull-through efforts.
• Listen and respond appropriately to customer needs and questions.
• Effectively and persuasively communicate with customers using effective selling, listening and negotiation skills, proper terminology and approved messaging.
• Maintain thorough knowledge of Sun products.
• Regularly and timely communicate with manager, as well as members of various support teams, as required.
• Create and maintain a positive impression with customers.
• Prepare reports for management as needed.
• Participate in teleconference and live National, regional and district meetings and training sessions and represent Sun at national and/or local conventions when requested.
• Ensure behaviors consistent with Healthcare Compliance guidelines.
Job Qualifications:
Education: A minimum of a Bachelor’s Degree is required.
Experience: 8 or more years of healthcare industry experience required. A minimum of 5 years’ experience in the healthcare industry including a strong understanding of but not limited to, insurance verification and / or claim adjudication, physician office and outpatient billing, medical benefit procurement, understanding of adjudication within Commercial and Government payers, buy and bill model, Medicare, Tricare , Medicaid and National and Regional Commercial payers. Experience working in Dermatology and/or Oncology is a plus.
Additional Requirements
• Proven teamwork and collaboration skills with a demonstrated track record of working in highly matrixed and cross-functional work teams
• Applies appropriate interpersonal styles and communications methods to influence and build effective relationships with business partners.
• Able to effectively manage competing priorities with strong sense of urgency.
• Able to act as an articulate advocate for the market access team
• Provides consistent communications (both positive and negative information delivery) and is proactive and time in the conveyance of this information.
• Uses appropriate methods and interpersonal styles to develop, motivate, and guide a team toward successful outcomes and attainment of business objectives.
• Strong written and verbal communication skills.
• Strong presentation skills.
• Highly developed analytical skills with demonstrated ability to conceptualize issues and synthesize data to provide strategic direction
• Experience in Sun Pharma’s therapeutic areas: Dermatology, Oncology, Biologics preferred
• Acts as a role model for others in line with Sun’s values
-
mumbai, India SUN PHARMA Full timeThe Field Reimbursement Manager is part of the Market Access group supporting Sun’s family of branded products in the United States. This primary goal of this role is to support appropriate patient access to care. This team focuses their efforts on supporting practices, accounts, and providers with necessary support materials and education to seek...
-
DC Infrastructure security lead
3 weeks ago
mumbai, India PeopleLogic Full timeAbout the Customer Company is a global leader in IT services, consulting, and business solutions, leverages technology for business transformation and helps catalyze change. About the Role Designation : DC Infrastructure security lead Roles and...
-
Senior Manager, Market Access
1 month ago
Mumbai, India Edwards Lifesciences Full timeThe role is responsible for the development and execution of Market Access and Government Affairs strategies. The individual will work in close collaboration with local Business leaders and will implement and execute and country specific Market Access & Government Affairs programs in alignment with the Business Units imperatives to secure patients' access...
-
Senior Manager, Market Access
1 month ago
mumbai, India Edwards Lifesciences Full timeThe role is responsible for the development and execution of Market Access and Government Affairs strategies. The individual will work in close collaboration with local Business leaders and will implement and execute and country specific Market Access & Government Affairs programs in alignment with the Business Units imperatives to secure patients' access...
-
DC Infrastructure security lead
3 weeks ago
Mumbai, India PeopleLogic Full timeAbout the CustomerCompanyis a global leader in IT services, consulting, and business solutions, leverages technology for business transformation and helps catalyze change.About the RoleDesignation: DC Infrastructure security leadRoles and Responsibilities:Review the security controls and risk reports.Review the VA/PT reports and document plans for...
-
Mumbai, India Stalwart People Co. Full timeManager- Business Development- Europe & LatamBDM-Europe & Latam.Location : Mumbai (Goregaon)Exp - 5-10 yrsMUST HAVE:- We require candidates who have experience in above region and from VAS i.e Value Added Services only.- He/She should have handled Europe & Latam market for atleast 4-5 years.- Basic understanding of the teelcom & content business.- We are...
-
Mumbai, India Novartis Full timeLead - Health Economics & Market Access Key Responsibilities:- Lead & contribute to the development, design, analysis and interpretation of all HEOR projects that demonstrate the over product value (both clinical & economic)- Develop and integrate parameters necessary to demonstrate clinical, economic and humanistic product value to payers and other decision...
-
Head Design
3 days ago
Navi Mumbai, India Talent Corner Full timeRoles and ResponsibilitiesCompany- Power electronics Products (SMPS & DC DC Converters)Position: Head Design/R&D - Power Supplies.Experience- 15 yearsLocation- Navi MumbaiDesired Candidate Profile1. Design & Development of Power Supplies (SMPS & DC DC Converters)2. Strategic inputs w.r.t market requirements & our offerings(breakthrough) at the time ofproduct...
-
Head Design
1 month ago
Navi Mumbai, India Talent Corner Full timeRoles and Responsibilities Company- Power electronics Products (SMPS & DC DC Converters)Position: Head Design/R&D - Power Supplies.Experience- 15 yearsLocation- Navi Mumbai Desired Candidate Profile 1. Design & Development of Power Supplies (SMPS & DC DC Converters)2. Strategic inputs w.r.t market requirements & our offerings(breakthrough) at...
-
Head Design
2 weeks ago
navi mumbai, India Talent Corner Full timeRoles and Responsibilities Company- Power electronics Products (SMPS & DC DC Converters)Position: Head Design/R&D - Power Supplies.Experience- 15 yearsLocation- Navi Mumbai Desired Candidate Profile 1. Design & Development of Power Supplies (SMPS & DC DC Converters)2. Strategic inputs w.r.t market requirements & our offerings(breakthrough)...
-
Design Head- SMPS
3 days ago
Navi Mumbai, India Talent Corner Full timeRoles and ResponsibilitiesProvide the right design side inputs w.r.t. business case/plan.Ensure right product test plan and setupEnsure certifications as necessary for different regionsEnsure that manufacturing process is designed & developed & executed to desired scaleDesired Candidate ProfileDesign & Development of Power Supplies (SMPS & DC DC...
-
Biometric and Access Control System-field
4 weeks ago
Mumbai, India Ms. GCS Automation Pvt. Ltd Full timeClient support and installation of all brands of Biometric and Access control devices **Job Types**: Full-time, Regular / Permanent **Salary**: ₹15,000.00 - ₹25,000.00 per month **Benefits**: - Cell phone reimbursement - Commuter assistance - Internet reimbursement Schedule: - Day shift - Fixed shift Ability to commute/relocate: - Mumbai -...
-
Reimbursement Executive
1 month ago
Mumbai, Maharashtra, India Al Samia Enterprises Full time**Key Responsibilities**: - Responsible for reviewing and processing reimbursement claims for healthcare services provided by our organization. - Ensure accuracy and completeness of reimbursement documentation, including medical records, insurance forms, and invoices. - Communicate with insurance companies and patients to resolve any billing and...
-
Design Head- SMPS
2 weeks ago
navi mumbai, India Talent Corner Full timeRoles and Responsibilities Provide the right design side inputs w.r.t. business case/plan.Ensure right product test plan and setupEnsure certifications as necessary for different regionsEnsure that manufacturing process is designed & developed & executed to desired scale Desired Candidate Profile Design & Development of Power Supplies (SMPS...
-
Design Head- SMPS
1 month ago
Navi Mumbai, India Talent Corner Full timeRoles and Responsibilities Provide the right design side inputs w.r.t. business case/plan. Ensure right product test plan and setup Ensure certifications as necessary for different regions Ensure that manufacturing process is designed & developed & executed to desired scale Desired Candidate Profile Design & Development of Power Supplies (SMPS &...
-
Military Education Coordinator
4 weeks ago
Fort, Mumbai, Maharashtra, India University of Maryland Global Campus Full timeJob Ref: 10016899 **Location**: Fort Gregg-Adams, VA Category: Advising and Enrollment Type: Full time **Military Education Coordinator** **Office of Stateside Military Operations** **Exempt, Contingent II, Full Time, Pay Grade 1.2** **Jon Location: Ft Lee, VA** The Military Education Coordinator will report to the Assistant Director (or Director) in...
-
Project Manager
1 month ago
mumbai, India Pharma Access Full timeCompany DescriptionPharma Access provides end-to-end turnkey solutions in the pharmaceutical and biotech sector. The company has facilities across the globe and produces a variety of products in forms of tablets, capsules, syrups, ointments, creams, and sterile injectables. They strive to help customers attain and sustain cost-effective manufacturing...
-
Project Manager
1 month ago
Mumbai, India Pharma Access Full timeCompany Description Pharma Access provides end-to-end turnkey solutions in the pharmaceutical and biotech sector. The company has facilities across the globe and produces a variety of products in forms of tablets, capsules, syrups, ointments, creams, and sterile injectables. They strive to help customers attain and sustain cost-effective manufacturing...
-
Project Manager
1 month ago
Mumbai, India Pharma Access Full timeCompany DescriptionPharma Access provides end-to-end turnkey solutions in the pharmaceutical and biotech sector. The company has facilities across the globe and produces a variety of products in forms of tablets, capsules, syrups, ointments, creams, and sterile injectables. They strive to help customers attain and sustain cost-effective manufacturing...
-
Project Manager
1 month ago
Mumbai, India Pharma Access Full timeCompany DescriptionPharma Access provides end-to-end turnkey solutions in the pharmaceutical and biotech sector. The company has facilities across the globe and produces a variety of products in forms of tablets, capsules, syrups, ointments, creams, and sterile injectables. They strive to help customers attain and sustain cost-effective manufacturing...
