US Field Reimbursement Manager, Rare Neurology, Hematology, & Nephrology (Indiana)
Alexion PharmaceuticalsAbout the role
This is what you will do:
The Field Reimbursement Manager (Rare Neurology, Hematology, & Nephrology) is a field-based, non-promotional role responsible for helping minimize barriers to patient access for our rare disease portfolio. You will act as the local subject matter expert on reimbursement, billing, coding, and patient support programs for assigned indications and therapies. By educating healthcare provider (HCP) offices, billing staff, and financial coordinators, you will help navigate complex coverage landscapes to ensure eligible patients receive timely access to therapy. This role reports directly to the Regional Field Reimbursement Director.
You will be responsible for:
Partnering with Alexion cross-functional partners on overall account and territory planning and strategy to maximize internal/external customer knowledge on payer policy and processes as well as routine documentation and presentation of plans.
Being a subject matter expert on reimbursement and regional-specific access landscape. This includes medical/pharmacy benefit design, product acquisition, payer policies and coverage criteria, prior authorization requirements, denials, appeals, peer to peer and other education required to navigate access for coverage of assigned Alexion indications and therapies while operating in full alignment with company policy, legal requirements, and compliance standards.
Develop and execute strategic account and territory plans that increase customer knowledge of reimbursement and access processes, using available resources, internal data, and field insights to prioritize activity and guide call objectives.
Collaborating with Alexion OneSource Patient Services on individual case management needs related to HCP education on reimbursement issues.
Identify, document, and communicate field insights related to payer policy shifts, access barriers, denial trends, operational challenges, and customer education needs to help inform internal planning and decision-making.
Collaborating with cross-functional partners to share insights and coordinate/ plan activities; attending internal regularly (with market access, patient services, medical, sales, compliance, legal, and other relevant partners, as appropriate) and company meetings as requested.
Maintain accurate documentation and operational reporting related to customer interactions, account plans, HCP office education, and case-related activity in CRM and other approved systems, while managing work in alignment with annual priorities, key performance indicators, territory objectives, project priorities, and approved budget parameters
Complying with all laws, regulations and policies that govern the conduct of Alexion activities; works with the highest degree of professionalism and in accordance with the company’s code of Ethics and Business Conduct.
You will need to have:
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
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