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Field Reimbursement Manager – Rare Endocrinology, Rare Tumor
AstraZeneca. Help minimize barriers to patient access for the rare disease portfolio .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in reimbursement processes, billing, coding, and patient support programs within the healthcare and pharmaceutical sectors. Proven ability to develop strategic account plans and collaborate cross-functionally to enhance patient access and education.
Highest-signal resume keywords
Reimbursement ExpertiseField Reimbursement ExperienceCross-Functional CollaborationHealthcare Provider EducationPrior Authorization Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
BillingCodingPatient Support ProgramsMedical Benefit DesignPharmacy Benefit DesignPrior AuthorizationDenials ManagementComplex Reimbursement IssuesSpecialty Pharmacy NetworksHealthcare Compliance
Soft Skills
Interpersonal CommunicationPresentation SkillsActive ListeningRapport BuildingBusiness Planning
Tools & Technologies
CRM SoftwareMicrosoft WordMicrosoft ExcelMicrosoft PowerPointMicrosoft OutlookIPadLaptop
Certifications & Qualifications
Bachelor's DegreePACS (Prior Authorization Certification Specialist)
Industry Keywords
HealthcarePharmaceuticalBiotechRare DiseaseIntegrated Health SystemsEndocrinologyMetabolic DisordersBone DisordersPayer PoliciesAccess Processes
About the role
Key responsibilities & impact- Help minimize barriers to patient access for the rare disease portfolio
- Act as the local subject matter expert on reimbursement, billing, coding, and patient support programs
- Educate healthcare provider offices, billing staff, and financial coordinators on reimbursement and access processes
- Partner with cross-functional teams on account and territory planning and strategy
- Provide expertise on medical/pharmacy benefit design, product acquisition, payer policies, coverage criteria, prior authorization requirements, denials, appeals, and peer-to-peer processes
- Develop and execute strategic account and territory plans
- Collaborate with Alexion OneSource Patient Services on individual case management needs
- Identify, document, and communicate field insights on payer policy shifts, access barriers, denial trends, operational challenges, and customer education needs
- Coordinate activities with market access, patient services, medical, sales, compliance, legal, and other partners
- Maintain accurate CRM and operational reporting on customer interactions, account plans, HCP office education, and case-related activity
- Comply with applicable laws, regulations, company policies, and the company’s Code of Ethics and Business Conduct
- Travel throughout a large multi-state territory, including overnight travel up to 3 nights per week
Requirements
What you’ll need- Bachelor’s degree
- 5-7 years experience in the healthcare and/or pharmaceutical/biotech industry
- 3+ years experience working with buy and bill and/or specialty pharmacy networks
- 3+ years of field reimbursement experience
- Understanding of access process from medical and pharmacy benefit design, Rx to infusion/injection
- Experience with products that require prior authorization and clear understanding of related billing, coding and in-office support
- Excellent verbal, written, interpersonal communication and presentation skills
- Ability to effectively communicate with people at all levels, inside and outside of the company
- Ability to educate physicians and other healthcare professionals with confidence and expertise in an office procedural environment
- Demonstrated strong cross-functional collaboration skills, business planning, rapport building and active listening skills
- Experience working through complex reimbursement issues
- Experience working with billing and medical claim personnel in healthcare setting
- Experience working with integrated health systems
- Demonstrated technical aptitude and working proficiency in using iPad and Laptop and working proficiency in Microsoft Word, Excel, PowerPoint, and Outlook
- Willingness to travel with equipment to coordinate daily with key partners on education and case work
- Ability to travel to work related meetings and functions and overnight for up to 3 nights per week
- Ability to travel 50-75%
- Ability to drive to assigned targets within the territory
- A valid driver's license and clean driving record
- Ability to travel regionally and cover large multi-state territories
- Must reside in the assigned territory
- Rare disease experience preferred
- Understanding of the top regional and national payers within the assigned geography preferred
- Experience in launching a new specialty pharmaceutical/biologic product or new product indication preferred
- Endocrinology, Metabolic or bone disorder experience preferred
- PACS (Prior Authorization Certification Specialist) preferred
- Familiarity with applying AI tools and techniques to enhance efficiency preferred
- Reside within 30 miles of Nashville, Birmingham, or Louisville preferred
Benefits
Comp & perks- Company-provided Fleet Electric Vehicle
- Relocation assistance is not provided