Jul 13, 2019

Field Reimbursement Manager- East

  • Professional Diversity Network
  • Philadelphia, PA, USA
Full-Time Nurse

Job Description

Amplity Health

Paratek Pharmaceuticals has partnered with Amplity Health for an exciting and rare opportunity to support their recent launch of Nuzyra. This is a chance to help shape the future of an organization!

We are looking for resourceful, collaborative, passionate and purposeful professionals who want to be part of a fast-moving, entrepreneurial environment, where transformational patient solutions are developed!

Job Summary

The Field Reimbursement Manager is a customer-facing role who leverages their expertise and experience to compliantly assist customers in understanding and addressing reimbursement and access issues or concerns. The position primarily engages with providers, hospital billing administrators and outpatient office staff by providing education regarding on-label HCPCS codes for Paratek Products, HUB and Specialty Pharmacy Services and on reimbursement matters. The role will work in identifying payer trends, alerting business partners, and taking initiative around developing, coordinating and executing tactical plans in order to create and maintain treatment access for patients.

This role will be embedded into the Paratek Pharmaceuticals' Market Access team and will receive direction from the Director, Trade; however, the candidate will initially be an employee of Amplity Health.

Position Responsibilities:

  • Coordinate with the Paratek Market Access National Account Managers (NAMs), Key Account Managers (KAMs), Reginal Business Managers (RBMs) and field sales representatives to assist in providing field reimbursement support to key accounts. This includes but not limited to a thorough understanding of account issues related to billing, coding and reimbursement.
  • Establish, develop, and maintain strong working relationships with Paratek Specialty Pharmacy Network Suppliers.
  • Conduct research using HUB data, Paratek analytics, market access data, and other sources, including primary or secondary managed care sources, as needed, to develop complete understanding of the local reimbursement environment, in preparation for customer interactions.
  • Provide support to address questions about coverage requirements and prior authorization or appeals requirements, procedures and forms
  • Serve as payer expert for defined geography and able to communicate changes to key stakeholders in a timely manner
  • Coordinate with other patient support service program representatives (HUB) and with the field sales force, if necessary
  • Educate physician office staff on the use of patient assistance programs and call center support services, including web-based provider programs
  • Provide information on relevant Reimbursement topics related to the product
  • Manage travel schedule and travel arrangements.
  • Prepare and submit appropriate expense reports in a timely fashion.

Candidate Requirements:

  • Bachelor's degree required
  • A minimum of 5 years of relevant experience in Pharmacy and Medical benefit reimbursement
  • Demonstrated knowledge in healthcare policy, reimbursement, market access, pharmaceutical or biotechnology sales or marketing
  • Experience working with hospitals, provider offices such as a physician infusion suites, patient assistance programs, or similar pharmaceutical support program, strongly preferred
  • Understand HIPAA rules and regulations related to patient privacy
  • Strong understanding of healthcare regulatory and enforcement environments along with demonstrated integrity on the job
  • Experience with research and analysis, relationship-building (with clients and/or customers), and public speaking.
  • Broad-based managed care experience across multiple segments (Commercial, Part D, Managed Medicaid, GPOs, 340B, IDNs).
  • Advanced understanding of billing coding and reimbursement
  • Demonstrated ability to thrive in a dynamic, fast-paced environment
  • Strong interpersonal skills and the ability to develop strong working relationships and work collaboratively across cross-functional teams
  • Possesses relevant work experience to conduct site visits, audio conferences, and deliver excellent presentations with small and large groups.
  • Strong oral and written communication skills; excellent planning and organizational skills to work within date sensitive deadlines
  • Strong attention to detail combines with a keen ability to recognize issues in the context of higher-level policies and regulations
  • Ability to work independently
  • Valid driver's license with record in good-standing required
Additional Information:
  • Technology needs: Microsoft Office, Veeva (preferred)
  • Travel requirements (%): The average travel for this position is >50% with some variation based upon the time of year and demands of the business imperatives. The travel requirements will vary based on the geography and account responsibilities for this position.

A true partner to global healthcare companies, Amplity Health builds transformational solutions by challenging boundaries and the status quo. Amplity Health has the expertise, infrastructure, and insights to help clients overcome any healthcare commercialization hurdle. With wide-ranging capabilities such as patient identification solutions, multi-channel messaging, inside sales and service resourcing, field sales, campaign planning and execution, and more, we have what it takes to maximize commercialization efforts and set strategies up for success.

Partnership. Amplified.OUR CULTURE

When you join Amplity Health, you have the opportunity to work with and learn from leaders in the health care industry. Our commitment to a team-oriented culture and value-based leadership model provides an environment where our employees can work to their full potential. All opportunities with offer competitive compensation including a comprehensive medical benefits package, 401-k benefits, and the opportunity to grow with us.

A goal of ours is to continuously drive innovation through our people by creating an open, respectful, inclusive and trustworthy work environment. We encourage and support equal employment opportunities for all associates and applicants for employment without regard to race, color, creed, religion, age, sex, sexual orientation, gender, gender identity, gender expression, national origin, ancestry, citizenship status, marital status, medical condition as defined by applicable state law, genetic information, disability, military service and veteran status, pregnancy, childbirth and related medical conditions, or any other characteristic protected by applicable federal, state, or local laws and ordinances. Employment decisions are evaluated based on an individual's skills, knowledge, abilities, job performance and other qualifications. We do not condone or tolerate an atmosphere of intimidation or harassment.

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