Associate Director - Field Reimbursement Manager, Oncology - Mid-Atlantic
- Extensive disease state/therapy space experience (specific to Bayer Programs/Therapies);
- Govt, National and local Commercial Payer experience, State Medicaid, and Managed Plans;
- Experience in educating and supporting Prior Authorization process, appeals, and denials;
- Covermymeds - portal access experience a plus;
- Proactive education - Access Services by Bayer;
- Stay current with local MAC policies and procedures;
- Excellent verbal and written communication skills as well as prior experience educating providers;
- Collaborating across multiple stakeholders;
- Proactive Problem solving, defusing, and resolving escalations, consistent and timely follow up;
- Proven experience in flexibility and adaptability Territory Management;
- Ability to engage and navigate HCPs in various settings including hospitals, private practice, large multi-specialty practices, IDNs, IDN out-patient clinics and other facilities;
- Initiative-taking business acumen to identify and resolve HCP/Office Staff issues/challenges with Payer/PBM therapy approvals;
- New Product / Indications launch experience;
- Must have a valid driver's license with a safe driving record/ MVR;
- Specialty Pharmacy Experience;
- Experience educating and/or supporting pharmacies.
WHO YOU ARE Bayer is seeking an incumbent who processes the following: REQUIRED QUALIFICATIONS
- Bachelor’s Degree or minimum of 5 years’ healthcare related reimbursement experience;
- 2 + years Field Reimbursement experience;
- In depth understanding of Payer/PBM therapy approval requirements (Prior Authorization, Medical Necessity, Denial Appeals, Formulary coverage and payment for oncology therapies across all sites of care (hospital, clinic, integrated delivery network) and ability to apply this knowledge to address individual customer concerns;
- Broad knowledge of Medicare, managed care, third party payers and Medicaid;
- Demonstrated excellence in meeting and exceeding customer expectations especially in demanding situations;
- Ability to effectively address customer concerns in a timely fashion and by working collaboratively with external and internal stakeholders;
- An elevated level of sophistication/people skills needed to interact with practice clinical decision makers, office support staff, clinical pharmacists, and office managers;
- Must demonstrate a comprehensive knowledge of customer relations, therapy formulary coverage, utilization management, and able to interpret complex information;
- Must possess the leadership ability to effectively organize, communicate and collaborate with HCPs, Key Practice Staff and Bayer external and internal team members;
- Exceptional knowledge of Healthcare Management;
- Pharmaceutical Manufacturer federal, state, and local compliance requirements;
- Area Reimbursement Managers will cover multiple regions, thus significant overnight travel, up to 50%;
- Must have a valid driver's license with a safe driving record/ MVR.
PREFERRED QUALIFICATIONS
- 2 + years Oncology Field Reimbursement Experience;
- Experience in oncology and working with key oncology stakeholders.
YOUR APPLICATION
Bayer offers a wide variety of competitive compensation and benefits programs. If you meet the requirements of this unique opportunity, and want to impact our mission Health for all, Hunger for none, we encourage you to apply now. Be part of something bigger. Be you. Be Bayer.
To all recruitment agencies: Bayer does not accept unsolicited third party resumes.
Bayer is an Equal Opportunity Employer/Disabled/Veterans
Bayer is committed to providing access and reasonable accommodations in its application process for individuals with disabilities and encourages applicants with disabilities to request any needed accommodation(s) using the contact information below.
Equal Opportunity Employer Statement: Notice for U.S. Visitors: All information on this site is subject to compliance with local rule and regulations as they may vary from time to time and across different geographies, including, without limitation, U.S. Executive Orders. Bayer is an E-Verify Employer. Location: United States : District of Columbia : Residence Based || United States : District of Columbia : Washington || United States : North Carolina : Asheville || United States : North Carolina : Cary || United States : North Carolina : Chapel Hill || United States : North Carolina : Charlotte || United States : North Carolina : Clayton || United States : North Carolina : DURHAM || United States : North Carolina : DURHAM || United States : North Carolina : Durham || United States : North Carolina : Fayetteville || United States : North Carolina : Gastonia || United States : North Carolina : Greensboro || United States : North Carolina : Greenville || United States : North Carolina : Hickory || United States : North Carolina : Kannapolis || United States : North Carolina : Matthews || United States : North Carolina : Morrisville || United States : North Carolina : Mount Olive || United States : North Carolina : Mt Olive || United States : North Carolina : Pikeville || United States : North Carolina : Raleigh || United States : North Carolina : Research Triangle Park || United States : North Carolina : Residence Based || United States : North Carolina : Rocky Mount || United States : North Carolina : Statesville || United States : North Carolina : Wilmington || United States : North Carolina : Wilson || United States : North Carolina : Winston-Salem || United States : South Carolina : CHARLESTON NORTH || United States : South Carolina : COLUMBIA WEST || United States : South Carolina : Charleston || United States : South Carolina : Columbia || United States : South Carolina : FLORENCE || United States : South Carolina : Greenville || United States : South Carolina : Greenwood || United States : South Carolina : Hartsville || United States : South Carolina : Myrtle Beach || United States : South Carolina : Residence Based || United States : South Carolina : Spartanburg || United States : South Carolina : Summerville || United States : Virginia : Arlington || United States : Virginia : CHARLOTTESVILLE || United States : Virginia : Chantilly || United States : Virginia : Charlottesville || United States : Virginia : Chesterfield || United States : Virginia : Fairfax || United States : Virginia : Fredericksburg || United States : Virginia : Hampton || United States : Virginia : Lynchburg || United States : Virginia : Norfolk || United States : Virginia : Residence Based || United States : Virginia : Richmond || United States : Virginia : Roanoke || United States : Virginia : Virginia Beach || United States : Virginia : WOODBRIDGE Division: Pharmaceuticals Reference Code: 879452 Contact Us Email: [email protected]
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