Related skills
analytics reimbursement market access prior authorization crm systems📋 Description
- Resolve complex reimbursement issues with accounts, including prior authorizations.
- Educate practices and staff on reimbursement programs, coverage, coding, and payer policies.
- Minimize access barriers for appropriate patients via HCP education.
- Understand payor policies and coverage navigation.
- Provide clear guidance to practice staff on payer policies and processes.
- Review practice utilization of reimbursement services and suggest enhancements.
🎯 Requirements
- Bachelor's Degree
- 8+ yrs in pharma/biotech with Market Access and Payer/Access exp
- Develop strategic account plans and oversee contracts
- Proven track record of meeting/exceeding KPIs
- Knowledge of formulary inclusion and subcommittees
- Analytical mindset to interpret sales data and trends
- Experience with CRM systems and sales analytics tools
- Travel up to 60% to meet customers and events
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