Field Reimbursement Manager - Mid-West

Company Description

At EVERSANA, we are proud to be certified as a Great Place to Work across the globe. We’re fueled by our vision to create a healthier world. How? Our global team of more than 7,000 employees is committed to creating and delivering next-generation commercialization services to the life sciences industry. We are grounded in our cultural beliefs and serve more than 650 clients ranging from innovative biotech start-ups to established pharmaceutical companies. Our products, services and solutions help bring innovative therapies to market and support the patients who depend on them. Our jobs, skills and talents are unique, but together we make an impact every day. Join us! 

Across our growing organization, we embrace diversity in backgrounds and experiences. Improving patient lives around the world is a priority, and we need people from all backgrounds and swaths of life to help build the future of the healthcare and the life sciences industry. We believe our people make all the difference in cultivating an inclusive culture that embraces our cultural beliefs.  We are deliberate and self-reflective about the kind of team and culture we are building. We look for team members that are not only strong in their own aptitudes but also who care deeply about EVERSANA, our people, clients and most importantly, the patients we serve.   We are EVERSANA.  

Job Description

• This is a field-based position requiring frequent travel. Candidates from alternative locations are encouraged to apply; however, applicants must reside near a major airport hub to support travel throughout the territory, including AZ, CA, CO, NM, NV, OR, WA, TX, KS, AR, HI, MO, IL, IA, and WI

The EVERSANA/Theratechnologies Field Reimbursement Manager (FRM) plays a critical role in minimizing access and reimbursement barriers for patients and healthcare providers to ensure timely access to the product portfolio. By addressing complex patient access challenges, the FRM serves as a trusted resource for private practices, multi-specialty groups, and facilities, supporting them throughout the reimbursement cycle. This role collaborates closely with Market Access, Patient Services, and Field Sales teams to ensure seamless patient drug accessibility and delivers compliant, patient-focused solutions to optimize access. 

ESSENTIAL DUTIES AND RESPONSIBILITIES: 
Our employees are tasked with delivering excellent business results through the efforts of their teams.  These results are achieved by: 

• Proactively address patient access barriers by working with customers and accounts to resolve complex reimbursement issues, including prior authorizations, appeals, and denials. 
• Educate private practices, multi-specialty groups, facilities, and their staff on reimbursement support programs, coverage, coding, and payer policies. 
• Partner with internal and external stakeholders to identify, anticipate, and address patient and practice reimbursement challenges. 
• Collaborate cross-functionally with Market Access, Patient Services, and Field Sales to provide compliant support for patients’ access to therapy. 
• Deliver clear and actionable information to practice managers, billing staff, nurses, and reimbursement teams to improve their understanding of payer policies and processes. 
• Provide real-time communication on payer policy updates and system changes that impact patient access in assigned accounts. 
• Conduct regular reviews with practices to understand their utilization of reimbursement support services and recommend program enhancements based on customer needs. 
• Handle patient health information (PHI) in accordance with HIPAA guidelines and company compliance policies. 
• Demonstrate a commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and proactively managing bias.   
• Maintain a deep understanding of policies, industry trends, and the legal and compliance aspects of reimbursement, applying this knowledge to all responsibilities. 
• Ensure a compliant relationship with state, local, and institutional societies while educating and supporting practices and accounts. 
• Share insights into customer needs, potential access barriers, and payer trends with internal teams to drive actionable improvements. 
• All other duties as assigned  

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Qualifications

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES: 

The requirements listed below are representative of the experience, education, knowledge, skill and/or abilities required.  

• Education: Bachelor’s Degree 
• Experience and/or Training: 
• Proven experience in resolving complex patient access challenges, including prior authorizations, appeals, and denials. 
• Strong knowledg