Reimbursement Specialist

• Serve as a subject-matter expert on reimbursement, access, and coverage issues
• Educate healthcare providers, office staff, and practice managers on insurance, reimbursement, coding, billing, formulary, prior authorization, and appeals processes
• Support patient access to client products by resolving reimbursement and coverage challenges
• Act as a liaison between providers, manufacturers, pharmacies, and payers
• Collaborate with patient assistance and reimbursement support services
• Inform office staff about coverage and payer policy changes within assigned territories
• Probe office processes and identify root causes of access or reimbursement issues
• Deliver interactive educational presentations at provider sites of service
• Provide client-approved reimbursement information regarding client products
• Travel weekly to healthcare offices, including potential overnight stays
• Perform other related duties as assigned

Field Reimbursement Specialist helping Cencora patients access specialty medications

Field Reimbursement Specialist

Field Reimbursement Specialist helping Cencora patients access specialty medications. Educating healthcare offices and resolving pharmacy benefit, coverage, and reimbursement barriers across a multistate territory.

• Executes and optimizes US reimbursement strategies that support business objectives across prioritized product and therapy areas.
• Provides reimbursement and health policy guidance to product development, working in close partnership with clinical, regulatory, marketing, and sales teams.
• Partners with HEOR to assess global evidence needs and support development of payer‑relevant data.
• Analyzes reimbursement landscapes and contributes to coding, coverage, and payment pathway development including evaluation of relevant data analytics pertaining to health policy initiatives.
• Educates internal leaders and field teams on reimbursement requirements and business impact.
• Builds and maintains relationships with payers, government agencies, professional societies, and advocacy groups.
• Identifies reimbursement barriers, develops initiatives, and supports implementation of programs that improve market access.
• Designs and delivers reimbursement education for internal and external stakeholders.
• Represents, as a leader, the expertise and perspective of the Reimbursement/Market Access function to the business divisions it supports.
• Performs other duties, as required.

Senior Reimbursement Specialist optimizing US reimbursement strategies at Merit Medical

Senior Reimbursement Specialist

Senior Reimbursement Specialist optimizing US reimbursement strategies to support business objectives for Merit Medical. Collaborating with multiple teams and building relationships with payers and agencies.

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Field Reimbursement Specialist

Senior Reimbursement Specialist