Provide on-site and on-demand education on reimbursement challenges and support services for physician offices.
Educate on benefit investigation, prior authorization, Medicare and Commercial coverage, and patient communication streams.
Collaborate with internal hub support and case managers to ensure customer needs are met and track activities in CRM.
McKesson is a Fortune 10 healthcare company that delivers insights, products, and services to make quality care more accessible and affordable. It fosters a culture where employees can grow, make an impact, and thrive as they shape the future of health.
Own and execute U.S. market access and reimbursement strategy across product lines from coding through payment.
Serve as subject-matter expert on CMS/Medicare, including LCD/NCD processes and diagnostic pricing pathways.
Partner cross-functionally with Medical Affairs, Clinical, and Commercial to align evidence with payer requirements.
We develop next-generation blood-based tests for early cancer detection using fragmentomics and machine learning. We are a small, collaborative team with a culture of science, pragmatism, and inclusivity, with offices in Palo Alto and Baltimore.
Educate provider offices on payer requirements, reimbursement processes, and patient support services to support appropriate patient access.
Develop and execute a territory access plan, prioritize accounts, and coordinate with sales, market access, and patient services stakeholders.
Monitor payer policy, formulary coverage, and access barriers, and communicate relevant insights to internal teams.
Stratis Group is an independent pharmaceutical consulting firm specializing in commercialization, market access, patient services, field reimbursement, and data-driven analytics. The company size and culture are not specified in the posting.
Proactively educate healthcare providers on navigating access, reimbursement, and coverage pathways for company products. - Serve as a subject matter expert in preventing and addressing access and reimbursement issues through education and problem-solving. - Build and maintain access-related relationships with healthcare provider accounts and office staff to ensure timely patient access.
Acadia Pharmaceuticals Inc. is a biopharmaceutical company focused on developing and commercializing innovative therapies for central nervous system disorders. The company fosters a collaborative and inclusive culture, offering competitive benefits and a commitment to diversity and equity.
Manage daily activities virtually to support appropriate patient access to client products.
Educate provider offices on payer requirements, reimbursement processes, and patient support services.
Develop and execute a territory access plan and coordinate with sales, market access, and patient services teams.
Stratis Group is an independent pharmaceutical consulting firm that specializes in commercialization throughout a brand’s lifecycle, focusing on market access, patient services, field reimbursement, and data-driven analytics. The company size is not specified.
Maximize reimbursement by collecting outstanding balances from insurance companies through claim follow-up and appeals.
Resolve aged claims via payer portals and outbound calls, escalating for reconsideration and up to three levels of appeals.
Identify denial trends and collaborate cross-functionally to improve upstream processes and prevent future denials.
CareDx is a leading precision medicine diagnostics company advancing care in transplant, specialty oncology, and cell therapy. The company partners with healthcare providers and biopharma organizations to improve patient outcomes through molecular diagnostics and digital health solutions.
Independently manage Medicare, Medicaid, and TriCare cost reports and coordinate audits.
Lead the annual cost report peer-review process and manage provider appeals.
Collaborate with internal stakeholders and external reimbursement organizations to ensure compliance.
They are a large health system providing patient-focused healthcare services. The organization is collaborative and mission-driven, with a focus on financial sustainability.