Field Reimbursement Manager (Manhattan)

Why Endo?

We want the best and brightest people at Endo to help us achieve our mission to develop and deliver life-enhancing products through focused execution. Our nearly 3,000 global team members understand the important role we play in delivering healthcare and are dedicated to supporting each other as we work to bring the best treatments forward. Our shared values of Integrity & Quality, Innovation, Drive, Collaboration and Empathy guide our team and enable us to deliver upon our vision of helping everyone we serve live their best life.

At Endo, we are building a diverse, equitable and inclusive workplace, and we are looking for talented individuals to join our team.

Job Description Summary

The Field Reimbursement Manager (FRM) is a critical front-line member of the Endo Access and Reimbursement team who represents Endo’s interest with Xiaflex, Testopel, Aveed and Supprelin LA with HCP accounts, as well as all internal Endo stakeholders and field sales personnel. The FRM will be an expert and provides education, training and hands-on assistance related to access of the above products.

Job Description

The Field Reimbursement Manager (FRM) position is a critical front-line member of the Endo Access and Reimbursement Team.  The main driver of Endo Pharmaceuticals and Patient Access is patients and assisting provider offices to help their patients get access to care to get them back to living their best lives. The FRM role is a field-based position whose job is to minimize access and reimbursement barriers for patients and providers. 

Within their geography, the FRM provides access and reimbursement education to physician office personnel, billing staff/companies, HCPs, as well as anyone involved in the process of utilizing the product with the intention of minimize barriers and increasing access to care.  FRM education homes in on Endo Specialty therapies, how to buy and bill our products, acquire through specialty pharmacies and educate on office processes.  FRMs also support provider offices on a reactive basis by providing education and guidance in response to PA denials and claim denials and/or underpayments.  The FRM will leverage all data analytic tools to minimize delay in receiving treatment by working with internal and external customers.

Endo Branded – Specialty

Key Accountabilities:

Provider Account Support

• Subject matter expert for all reimbursement/access and acquisition logistical aspects of a high touch biologic medication for an orphan disease and testosterone products with multiple acquisition options within a changing payer landscape.  This includes payer policies, prior authorization requirements, denial and appeal process, peer to peer, and other education required to navigate access for the appropriate patients.
• Assists HCP offices with questions related to Buy/Bill BI management.  Educate/Assist with Specialty Pharmacy (SP) understanding, expectations and logistics.  Continually educate office staff on appropriate steps, educate on the importance of chart documentation, keep offices up to date on payer policies for Endo products and triage issues to the appropriate HUB and SP.
• Primary responsibilities include:
• Managing patient assistance and reimbursement support services offered to providers and related to patient access to buy/bill products.
• Coordinating with Endo’s patient support services program representatives.
• Educating office staff on the use of Buy/Bill products, patient assistance and reimbursement support services.
• Participating in sales training related to product reimbursement.
• Utilizing data to critically think through acquisition challenges from a variety of outlets including SP, Specialty Distributors and Title sales.
• Assist new offices from a reimbursement perspective to inform them about reimbursement issues as well as providing education on various MARC approved resources pertaining to reimbursement, acquisition and coding.
• Act in a compliant manner at all times.

Specialty Pharmacy (SP) Support

• FRMs work closely with the external and internal customers to trouble shoot any SP related issues.  FRMs work closely with their NAE partner to manage any customer related issues directly with the SP’s.
• SP experience is critical.  Each FRM should be an expert SP logistics and operations.
• FRMs must be able to analyze data and know how to make that data into actionable steps to facilitate patient access to ENDO products.
• Work closely with SP’s to understand logistical issues that arise and provide MARC approved resources and programs to facilitate patient access as well as communicate with SP’s to find resolutions to i