Job Description

Virtual Access and Reimbursement Manager

InizioEngage has a long-standing partnership with a leading Biotechnology company, across Commercial, Patient Solutions and Medical Affairs businesses. 

The Virtual Access and Reimbursement Manager will provide education to HCPs staff of enrolled patients in HUB or specialty pharmacy network who have beenprescribedour client’s product. They will engage healthcare providers, and their staff to communicate andeducate onpatient benefit coverage, prior authorization processes, general payer policycriteriaand affordability programs supporting the initiation of the products. They will have a solid understanding of the local,regionaland national payer landscape. They will haveunderstandof multiple data sets and actions will be influencedbthe status of the patient in the journey to Rx fulfillmentThere may be a possibility for the Individual to conduct an in-person HCPofficeinteractions with staff, asdeterminedby business needs.

This is your opportunity to joinInizioEngage and represent a top biotechnology company!

What’sin it for you? 

• Competitive compensation 

• Excellent Benefits –accruedtime off, medical, dental, vision, 401k, disability & life insurance, paid maternity and bonding time benefits, employee discounts/promotions 

• Generous performance-driven Incentive Compensation package 

• Competitive environment with company wide recognition, contests, and coveted awards 

• Exceptional company culture 

• Recognized as a Top Workplace USA 2021 

• Awarded a “Great Place to Work” award in 2022, 2023 & 2024

• Fortune Best Workplaces in Biopharma 202, 2023 & 2024  

What will you be doing? 

• Engage healthcare providers andappropriate officestaff to educate on access to prescribed treatments within the specialty pharmacy and HUB channel, including addressing questions aboutinitialaccess, insurance approval and reauthorizationspertaining tothe initiation of product.

• Educate HCP office staff about prior authorization & appeals process, how to access related forms, and high-level information about submission procedures and reauthorization requirements.

• Work compliantly and proactively toidentifyand resolve patient access and reimbursement issues, within assigned geography. Assigned geography may be adjusted based on zone and national volume.

• Provideappropriate factualprocess information to HCP officeutilizingPersonal Health Information (PHI), withappropriate patientconsent.

• Serve asreimbursementexpert for patient support services team for assigned geography/plans.

• Utilize approved resources and call guides/FAQs to provide education and answer questions as needed.

• Conduct ongoing payer policy reviews and contribute local,regionaland national policy insights to Field Access Managers and client leadership.

• Virtually manage assigned accounts and align with Field Access and Reimbursement team, sales teams as well as specialty pharmacy and HUB team on ongoing support needs.

• Document call details with attention to data integrity to ensure compliance with program policies and business rules.

• NavigateCRMplatform in daily interactions and learn internal team processes (when available).

• Maintain confidentiality of Patient Health Information (PHI) and act in compliance with all laws, regulations, and company policies.

• Triageappropriate escalationsto the Field Access Manager teamin accordance withthe program design and business rules.

• Comply, take, and attend all required training.

• Adhere to allInizioand client policies, procedures, business rules, and call guides, as well as applicable laws.

Requirements

• BS/BA Degree Required

• Proven successoperatingin a virtual environment

• 3+ years of relevant experience in – reimbursement and patient access, market access, specialty pharmacy, or physician/system account management.

• Experience engaging HCP staff in a support role toeducate onaccess pathways and product requirements.

• Experience navigating payer reimbursement process for oral medications.

• Experience with specialty productsacquiredthrough specialty pharmacy networks.

• Patient-centric and service-oriented mindset, with a high degree of emotional intelligence and empathy.

• Exceptional customer and patient engagement skills, attention to detail, and the ability to think comprehensively isa must

• Exemplary interpersonal and listening skills.

• Strong communication(written and verbal), and presentation skills.

• High enthusiasm with a drive to success within a team –demonstratedability to reach common goals in collaboration with multiple therapeutic specialists, sales leadership, market access, and patient support services colleagues.

• Highly organized with excellent attention to detail and the ability to multi-task in engaging both patients and providers.

AboutInizioEngage 
Inizio Engage is a strategic, commercial, and creative engagement partner that specializes in healthcare. Our passionate, global workforce augments localexpertiseand diverse mix of skills with data, science, and technology to deliver bespoke engagement solutions that help clients reimagine how they engage with their patients, payers,peopleand providers to improve treatment outcomes. Our mission is to partner with our clients, improving lives by helping healthcare professionals and patients get the medicines, knowledge and support they need.  

We believe in our values: We empower everyone/We rise to the challenge/We work as one/We ask what if/We do the right thing, and we will ask you how your personal values align to them. 

To learn more aboutInizioEngage, visit us at:  https://inizio.health/ 

InizioEngage is proud to be an equal opportunity employer. Individuals seeking employment atInizioare considered without regards to age, ancestry, color, gender, gender identity or expression, genetic information, marital status, medical condition (including pregnancy, childbirth, or related medical conditions), mental or physical disability, national origin, protected family care or medical leave status, race, religion (including beliefs and practices or the absence thereof), sexual orientation, military or veteran status, or any other characteristic protected by federal, state, or local laws.  Further,pursuant toapplicable local ordinances,Iniziowillconsider foremployment qualified applicants with arrest and conviction records. 

InizioEngage is an equal opportunity employer M/F/V/D. We appreciate your interest in ourcompany,however, only qualified candidates will be considered.