Field Reimbursement Manager - Neurology Pacific Northwest

The Field Reimbursement Manager (FRM) will be responsible for managing accounts in a specified region, focusing on the Pacific Northwest. The FRM provides access and reimbursement education to HCP office personnel covering medical policies, prior authorization requirements, coding and billing, product access via buy‑bill or specialty pharmacy, and site of care options and restrictions with the goal of minimizing barriers to therapy.

The FRM also supports by providing general education and case‑specific guidance in response to PA denials and post‑service reimbursement issues.

Patients are Alexion’s Guiding Star and are served every day by Alexion employees and their trusted partners with their hearts and minds. Alexion’s goal is to create purpose‑driven performance; all are accountable for achieving their commitments with the highest standards of ethics and integrity so they can deliver on the patients that rely on them.

• Partnering with Alexion cross‑functional partners on overall account and territory strategy to maximize internal and external customer knowledge on payor policy and processes.
• Being a subject‑matter expert on reimbursement and regional‑specific access landscape, including medical/pharmacy benefit design, payer policies, prior authorization requirements, denials, appeals, peer‑to‑peer and other education required to navigate access for coverage of Alexion therapies.
• Creating short‑term & long‑term strategic account plans focused on increasing customers’ knowledge for key accounts.
• Collaborating with Alexion One Source Patient Services on individual case management needs related to HCP education on reimbursement issues.
• Leveraging all available resources including internal data to develop and execute account plans/call purpose.
• Complying with all laws, regulations and policies that govern the conduct of Alexion activities; working with the highest degree of professionalism and in accordance with the company’s code of Ethics and Business Conduct.
• Complying with annual budget allocation within the respective territory.
• Complying with the duties of this role generally conducted in a field environment. As a field‑based role, employees must be able, with or without an accommodation, to travel by public transportation, automobile, train, or plane; work comfortably in a clinical setting; use a computer; engage in communications via phone, video, and electronic messaging; problem‑solve; engage in complex and non‑linear thought, analysis, and dialogue;
  
  collaborate with others; and maintain general availability during standard business hours.

• 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.
• Understanding of access process from medical/pharmacy benefit design, Rx to infusion/injection.
• Experience with products that require prior authorization and clear understanding of related billing, coding, and in‑office support.
• Excellent verbal, written, interpersonal communication and presentation skills.
• Ability to effectively communicate with people at all levels, inside and outside of the company.
• Ability to educate physicians and other healthcare professionals with confidence and expertise in an office procedural environment.
• Demonstrated strong cross‑functional collaboration skills, business planning, rapport building, and active listening skills.
• Problem‑solver with a sense of urgency.
• Demonstrated technical aptitude and working proficiency in using iPad and in Microsoft Word, Excel, PowerPoint, and Outlook.
• Ability to travel to work‑related meetings and functions and ability to travel overnight for 2‑4 nights per week; ability to travel up to 75%; ability to drive to assigned targets within the territory using a fleet vehicle provided by the company; a valid driver’s license and clean driving record; ability to travel regionally and cover large multi‑state territories; must reside in the region;
  
  relocation assistance is not provided.

• Rare disease experience.
• 3+ years of field reimbursement experience.
• Understanding of the top…