Access and Reimbursement Manager - Albuquerque/El Paso
Core
Field-based resource supporting healthcare practices to ensure optimal patient access to a specialty pharmaceutical product (Rezdiffra) by resolving reimbursement barriers and educating providers.
Role type
Access and Reimbursement Manager
Builds
Patient access pathways and provider education for a liver-directed therapeutic
Domain
Biopharmaceuticals / Hepatology / Gastroenterology / Endocrinology
Deliverable
client delivery
Required skills
Payer policy expertise, prior authorization management, appeals processing, specialty pharmacy network navigation, data analytics, training delivery, stakeholder collaboration
Preferred skills
Hepatology, Gastroenterology, or Endocrinology clinical knowledge
Technologies
Data and analytics tools
Responsibilities
Conduct benefits investigations and manage prior authorizations/appeals for patients; Educate healthcare providers on payer-specific coverage criteria and reimbursement processes; Collaborate with internal teams to identify regional access trends; Resolve access barriers through engagement with payers and specialty pharmacies; Report progress to leadership using data-driven insights
Seniority
Mid-Senior, hands-on IC
