Manager Field Reimbursement - Mid-South & Florida (REMOTE)

At Nestlé Health Science, we believe that nutrition, science, and wellness must merge, not collide. Here, we embrace the intrinsic connections of these three pillars, harnessing their collective strength to empower healthier lives. Our broad product portfolio includes renowned brands like Garden of Life®, Nature's Bounty®, Vital Proteins®, Orgain®, Nuun®, BOOST®, Carnation Breakfast Essentials®, Peptamen®, Compleat Organic Blends®, and more. We also have extensive pharmaceutical expertise, offering innovative medicines that aim to prevent, manage, and treat gastrointestinal and metabolic-related diseases.

At Nestlé Health Science, we bring our best for better lives. Our people are challenged to bring fresh, diverse views and make bold moves to empower healthier lives through nutrition. We know brilliant ideas can come from anyone, anywhere. Here we embrace the entrepreneurial spirit and collaborate with teams that champion focused and forward thinking. We are committed to fostering professional growth and celebrating the achievements of our people along the way. We offer dynamic career paths, robust development, opportunities to learn from talented colleagues around the globe, and benefits that support physical, financial, and emotional wellbeing. 

Join us to innovate for impact and reimagine the future of health and nutrition for patients and consumers. 
 

Position Summary: 

The Field Reimbursement Manager (FRM) is a remote role supporting the market access and patient support strategy for the pharmaceutical family of products across the NHSc branded business units. The FRM brings communication, leadership, account management, access, reimbursement expertise and reactive clinical information to the field and internal teams. They are an invaluable member of the field team supporting continuity of care through process education, reimbursement expertise and clinical information supporting the patient journey. The FRM helps to minimize common barriers to care in a legal and compliant way to support appropriate patient access to care. This role reports to the Sr Director Market Access.
 
Key Responsibilities:
• Support customers with complex patient access challenges for the benefit of patients and their continuity of care, while following all compliance initiatives and protocols.
• Advise on appropriate resolution of reimbursement and patient access challenges issues that may impact product availability.
• Actively support field sales and Case Manager efforts to facilitate product access.
• Champion patient support and reimbursement process improvement.
• Support the team by reactively educating offices on product clinical profile.
• Complex Account Management including conducting account mapping and analysis, developing account level strategies in conjunction with the field, supporting process integration and education to facilitate access, reviewing enrollment activity to identify trends/barriers leading to delays in access.

Reimbursement responsibilities include:

• Resolving complex large volume patient issues (i.e., co-pay issues), acting as reimbursement process improvement champion, communicating and acting as the subject matter expert on local payer and reimbursement landscape and policy requirements
• Educating and assisting clinics, HCP’s and others with payer coverage & reimbursement challenges, proactively communicating and explaining company-specific reimbursement programs, policies, procedures, and resources, demonstrating strong knowledge of Support Programs and Services
• Serving as the conduit between the healthcare provider and Case Manager to support patient access to therapy and the key link between the field sales and Case Manager, assisting with patient-specific case management needs.
• Clinical Education including providing on-label, clinical education in-services reactively, after a prescribing decision has been made, to customers including clinical staff and pharmacists to ensure patient safety. An FRM may not engage in clinical education with patients at this time.
 
Experience and Education Requirements
• Bachelor’s Degree required, Master’s Degree is preferred.
• 3+ years field reimbursement experience in the pharmaceutical/biotech or related industry OR 5+ years combined experience in managed care, pharmacy benefit reimbursement and complex product sales in specialty markets.
• A valid driver’s license and safe driving record.
• Previous experience in GI therapeutic area(s) is preferred.
• Previous experience with both private & public payers is preferred.
 
Skills:
• Must demonstrate proficiency in the local payer coverage policies.
• Must demonstrate excellent working knowledge of reimbursement and the practice management and managed markets environment.
• Previous experience working with specialty pharmacies and hubs.
• Proven track record for consistently meeting or exceeding goals and objectives.
• Proven track record in working with field teams and internal business partners.
• Previous experience in completing & implementing attainable business plans.
 
Requisition ID: 313422 

The approximate pay range for this position is $130,000 to $180,000. Please note that the pay range provided is a good faith estimate for the position at the time of posting. Final compensation may vary based on factors including but not limited to knowledge, skills and abilities as well as geographic location.

Nestlé offers performance-based incentives and a competitive total rewards package, which includes a 401k with company match, healthcare coverage and a broad range of other benefits. Incentives and/or benefit packages may vary depending on the position. Learn more at About Us | Nestlé Careers (nestlejobs.com) 

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