Inizio Engage
Inizio Engage is a global strategic, commercial and creative engagement partner that specializes in healthcare.
Virtual Access and Reimbursement Manager
Location
Arizona + 4 moreAll locations: Arizona, Colorado, Nevada, New Mexico, Utah
Posted
49 days ago
Salary
Not specified
Bachelor Degree3 yrs expEnglish
Job Description
• Virtually engage with HCPs and appropriate office staff about product specific prior authorization & appeals process, how to access related forms, and high-level information about submission procedures and reauthorization requirements.
• Work with in-network Specialty Pharmacies on cases where the patient has provided consent.
• Educate HCPs and appropriate office staff on specific referral processes and patient assistance programs.
• Utilize approved resources and FAQs to provide education and answer questions as needed.
• Solid understanding of reimbursement issues that work within our core classes of trade: Commercial Managed Care (Regional Plans), Medicaid (Fee for Service, Managed Care Organizations), Medicare (Part A, B, C, D; Carriers), Veteran’s Administration (VISNs), TRICARE Regional Offices, Specialty Pharmacy & Pharmacy Benefit Managers, ACOs and other Integrated Delivery Networks (IDNs), Advocacy, consumer, provider and treatment systems groups.
• Document call details within CRM with attention to data integrity to ensure compliance with program policies and business rules.
• Maintain confidentiality of Patient Health Information (PHI) and act in compliance with all laws, regulations, and company policies.
• Adhere to all Inizio and client policies, procedures, business rules, and call guides, as well as applicable laws.
Job Requirements
- BS/BA Degree
- 3+ years of relevant experience in – reimbursement and patient access, market access, specialty pharmacy, or physician/system account management.
- Proven success operating in a virtual environment
- Experience in endocrine or men’s health disorders preferred.
- Strong knowledge and understanding of payer reimbursement models (medical and pharmacy), prior authorization and appeal requirements, coding changes, appropriate claim submission, integration of HUB and patient assistance programs.
- Maintains compliance with program business rules, standard operating procedures and guidelines.
- Highly organized with excellent attention to detail and the ability to multi-task in engaging both patients and providers.
- Passionate about learning and able to share/communicate that passion to others.
- Experience engaging HCP staff in a support role to educate on access pathways and product requirements.
- Experience navigating payer reimbursement process, preferably Medicare Part D (pharmacy benefit design and coverage policy).
Benefits
- Competitive compensation
- Excellent Benefits – accrued time off, medical, dental, vision, 401k, disability & life insurance, paid maternity and paternity leave benefits, employee discounts/promotions
- Employee discounts & exclusive promotions
- Recognition programs, contests, and company-wide awards
- Exceptional, collaborative culture
- Best Places to Work in BioPharma (2022, 2023, & 2024)
- Certified Great Place to Work (2022, 2023, 2025)
Related Guides
Related Categories
Related Job Pages
More Manager Jobs
Manager, Category Space – Regions
Anheuser-BuschAmerica’s best-loved brewery, creating strong communities and meaningful moments for over 165 years. Enjoy responsibly.
Manager50 days ago
Full TimeRemoteTeam 10,001+Since 1852H1B No Sponsor
Category Space Manager supporting Convenience Store retail chain
Manager50 days ago
Full TimeRemoteTeam 1,001-5,000H1B No Sponsor
Real Estate Manager managing pet care facilities for Destination Pet
Kansas + 4 moreAll locations: Kansas, Minnesota, Pennsylvania, South Dakota, Texas
$80K - $90K / year
Manager50 days ago
Full TimeRemoteTeam 11-50Since 2001
Manager overseeing real estate transactions at House Buyers of America
Regional Manager, Professional Coding
Trinity HealthWe are one of the largest not-for-profit, faith-based health care systems in the nation.
Manager50 days ago
Full TimeRemoteTeam 10,001+H1B Sponsor
Regional Manager overseeing Professional Coding for Trinity Health
Michigan