Field Reimbursement Manager

Job Description

Field Reimbursement Manager , LPN, RN, PharmD, or Biologic Coordinator looking for the next step in their career. Covering the entire San Francisco Bay Area - best place to live is in San Francisco, Sacramento, Fresno. This position base pay is $121K

PRIORITY given to candidates experienced in Neurology, Psychology, Behavioral Health SPECIALTY DRUGS . Experience in specialty pharmacy that delivers to a LTC or Nursing Home.

Seeking an Expert in Specialty drug Prior Authorizations, Appeals, and working denials, with territory management experience, and experience training and educating provider office staff.

The drug is a neurological with a high volume of scripts going to pt's in Long Term Care.

The best FRM candidates will also demonstrate :

1) Determination to work through all roadblocks and barriers to get the medications approved and paid for.

2) Expertise in all : Specialty Drug Prior authorizations through portals, benefits investigations , Medicare Part D, working appeals and denials.

3) 2+ years experience in : escalations, education, Patient Assistance program approvals , foundation coverage, guidelines, and reimbursement.

4) Ability to keep up with changes and updates to drug programs, new FDA indications, miscellaneous J-codes, and payer policy changes that impact reimbursement.

5) Degree is not required.

This is a true temp-to-hire. This is better than just a contract; Ask me, I will explain! Please email me resume (with your city state zip code please) . I do have many positions in various territories around the USA. All territories will TRAVEL 80% That is 4 days in the field!