Field Reimbursement Manager (REMOTE)

 

At Nestlé Health Science, we believe that nutrition, science, and wellness must merge, not collide. Here, we embrace the intrinsic connections of these three pillars, harnessing their collective strength to empower healthier lives. Our broad product portfolio includes renowned brands like Garden of Life®, Nature's Bounty®, Vital Proteins®, Orgain®, Nuun®, BOOST®, Carnation Breakfast Essentials®, Peptamen®, Compleat Organic Blends®, and more. We also have extensive pharmaceutical expertise, offering innovative medicines that aim to prevent, manage, and treat gastrointestinal and metabolic-related diseases.

 

At Nestlé Health Science, we bring our best for better lives. Our people are challenged to bring fresh, diverse views and make bold moves to empower healthier lives through nutrition. We know brilliant ideas can come from anyone, anywhere. Here we embrace the entrepreneurial spirit and collaborate with teams that champion focused and forward thinking. We are committed to fostering professional growth and celebrating the achievements of our people along the way. We offer dynamic career paths, robust development, opportunities to learn from talented colleagues around the globe, and benefits that support physical, financial, and emotional wellbeing. 

 

Join us to innovate for impact and reimagine the future of health and nutrition for patients and consumers. 
 

 

POSITION SUMMARY

The Field Reimbursement Manager (FRM) is a remote role supporting the market access and patient support strategy for the pharmaceutical family of products across the NHSc branded business units. The FRM brings communication, leadership, account management, access, reimbursement expertise and reactive clinical information to the field and internal teams. They are an invaluable member of the field team supporting continuity of care through process education, reimbursement expertise and clinical information supporting the patient journey. The FRM helps to minimize common barriers to care in a legal and compliant way to support appropriate patient access to care. This role reports to the Sr Director Market Access.  This is a remote role that requires 40%-70% travel, across multiple time zones.  Travel could include, but os not limited to Southern California, New Mexico, Washington, Arizona, Nevada, Colorado, Idaho, Utah and Alaska.

 

Key Responsibilities:

• Support customers with complex patient access challenges for the benefit of patients and their continuity of care, while following all compliance initiatives and protocols.

• Advise on appropriate resolution of reimbursement and patient access challenges issues that may impact product availability.

• Actively support field sales and Case Manager efforts to facilitate product access.

• Champion patient support and reimbursement process improvement.

• Support the team by reactively educating offices on product clinical profile.

• Complex Account Management including conducting account mapping and analysis, developing account level strategies in conjunction with the field, supporting process integration and education to facilitate access, reviewing enrollment activity to identify trends/barriers leading to delays in access.

• Reimbursement responsibilities include:

  • resolving complex large volume patient issues (i.e., co-pay issues), acting as reimbursement process improvement champion, communicating and acting as the subject matter expert on local payer and reimbursement landscape and policy requirements

  • educating and assisting clinics, HCP’s and others with payer coverage & reimbursement challenges, proactively communicating and explaining company-specific reimbursement programs, policies, procedures, and resources, demonstrating strong knowledge of Support Programs and Services

  • serving as the conduit between the healthcare provider and Case Manager to support patient access to therapy and the key link between the field sales and Case Manager, assisting with patient-specific case management needs. 

  • Clinical Education including providing on-label, clinical education in-services reactively, after a prescribing decision has been made, to customers including clinical staff and pharmacists to ensure patient safety. An FRM may not engage in clinical education with patients at this time.

 

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