Senior Field Reimbursement Specialist- Cell and Gene Therapy/Rare Disease
Core
Field-based reimbursement and access specialist for rare disease cell and gene therapy (CGT) products, educating health systems and treatment centers on coverage, billing, and operational readiness.
Role type
Senior Field Reimbursement Specialist (CGT/Rare Disease)
Builds
Patient access pathways and treatment-site readiness for CGT products within health systems.
Domain
Healthcare / Cell and Gene Therapy / Rare Disease
Deliverable
client delivery
Required skills
Institutional reimbursement navigation, prior authorization, payer coverage analysis, coding and billing (HCPCS/CPT), specialty pharmacy operations, account management, denial/appeal processes, REMS compliance, patient assistance program coordination, business plan development.
Preferred skills
Experience with rare disease, cell and gene therapy, specialty biologics, oncology/hematology.
Technologies
None explicitly stated.
Responsibilities
Educate health systems and providers on CGT reimbursement and access; validate prior authorization requirements; coordinate treatment-site readiness and operational logistics; resolve reimbursement issues; develop territory business plans; mentor team members.
Seniority
Senior, hands-on IC with mentorship duties.
