Source Job

US

  • 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.

Managed Care Patient Services Cardiology Analytics

9 jobs similar to Virtual Access & Reimbursement Manager

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US

  • 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.

$65,500–$125,500/yr
US

  • Educates healthcare providers on patient access and reimbursement support for AbbVie's psychiatry portfolio.
  • Develops relationships with providers and coordinates with internal teams to enhance patient experience.
  • Identifies payer trends and improves processes to navigate local healthcare access barriers.

AbbVie discovers and delivers innovative medicines and solutions to address serious health issues in immunology, oncology, and neuroscience. They are a large global company with a strong culture of integrity and innovation serving communities.

$92,300–$153,900/yr
US

  • 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.

US 3w PTO

  • 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.

US

  • Serve as subject-matter expert on coding, coverage, and payment for Medicare and commercial payers.
  • Build provider relationships and minimize reimbursement barriers across multiple sites of service.
  • Provide billing, coding, and audit education while aligning with sales and internal teams.

Inspire Medical Systems develops a first-of-its-kind FDA-approved device to treat obstructive sleep apnea and enhance patient lives. They are a fast-growing, people-first company that values diverse voices, offers strong benefits, and promotes professional growth.

$68,000–$101,000/yr
US

  • Guide new patients through the sales and healthcare reimbursement process.
  • Investigate insurance benefits, review clinical records, and secure prior authorizations.
  • Partner with field sales representatives and maintain CRM documentation.

Cala creates non-invasive prescription therapies for chronic diseases, starting with hand tremor treatment. They are a mission-driven company with products used by thousands, focusing on neurology and cardiology, and offer stock options and benefits.

US

  • Lead market access strategy across marketed and pipeline products, ensuring alignment with corporate objectives and optimal patient access.
  • Manage Gross-to-Net strategy, government pricing, and contracting activities while ensuring compliance with federal and state regulations.
  • Partner with Sales, Marketing, and Commercial Operations to advance brand objectives and drive coordinated commercial execution.

ARS Pharmaceuticals is a fast-growing, innovative company dedicated to transforming the treatment of severe allergic reactions with neffy, the first and only FDA-approved needle-free epinephrine product. They foster a collaborative, entrepreneurial, and inclusive culture.

US

  • Conduct medical necessity reviews for inpatient admissions and post-acute services using evidence-based guidelines.
  • Lead peer-to-peer discussions with attending physicians to clarify clinical documentation and support appropriate care decisions.
  • Collaborate with utilization management and care management teams to ensure consistent, cost-effective care.

Our partner company provides utilization management services for Medicare Advantage members, focusing on evidence-based clinical decision-making. It operates with a collaborative, matrixed team and emphasizes regulatory compliance and patient-centered care.

US

  • 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.