Field Reimbursement Manager
Company: Inizio Engage
Location: Providence
Posted on: July 10, 2025
|
|
Job Description:
The Field Reimbursement Manager (“TAM”) will be responsible for
educating healthcare providers (HCPs) and their staff on
product-specific prior authorization and appeals processes,
including how to access necessary forms and submission procedures.
This role will also guide them through the referral process to the
client’s HUB and highlight the additional support services
available. The TAM will be required to collaborate with others
partners to identify accounts that may benefit from further
education. The Field Reimbursement Manager will be a key member of
both the client and Inizio Engage Patient Solutions teams. This
role reports to the Director, Field Reimbursement. What’s in it for
you? 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) What will you be doing? Educate 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. Educate
HCPs and appropriate office staff on the referral process to
client’s HUB as well as additional support and resources available
through the HUB. Work closely with other matrix partners to
identify additional accounts with need for education. 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 Follows all requirements
associated with compliance to program guidelines and relevant
regulations, including HIPAA and patient privacy What do you need
for this position? Bachelor’s degree or equivalent experience
required 3 years of relevant experience in reimbursement and
patient access Buy and Bill experience 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
Passionate about learning and able to share/communicate that
passion to others Location: This position requires regular travel
within a territory of up to a 150-mile radius. Occasionally
overnight travel to client or Inizio offices may be required. About
Inizio Engage Inizio Engage is a strategic, commercial, and
creative engagement partner that specializes in healthcare. Our
passionate, global workforce augments local expertise and diverse
mix of skills with data, science, and technology to deliver bespoke
engagement solutions that help clients reimagine how they engage
with their patients, payers, people and providers to improve
treatment outcomes. Our mission is to partner with our clients,
improving lives by helping healthcare professionals and patients
get the medicines, knowledge and support they need. We believe in
our values: We empower everyone/We rise to the challenge/We work as
one/We ask what if/We do the right thing , and we will ask you how
your personal values align to them. To learn more about Inizio
Engage, visit us at: https://inizio.health/ Inizio Engage is proud
to be an equal opportunity employer. Individuals seeking employment
at Inizio are considered without regards to age, ancestry, color,
gender, gender identity or expression, genetic information, marital
status, medical condition (including pregnancy, childbirth, or
related medical conditions), mental or physical disability,
national origin, protected family care or medical leave status,
race, religion (including beliefs and practices or the absence
thereof), sexual orientation, military or veteran status, or any
other characteristic protected by federal, state, or local laws.
Further, pursuant to applicable local ordinances, Inizio will
consider for employment qualified applicants with arrest and
conviction records. Inizio Engage is an equal opportunity employer
M/F/V/D. We appreciate your interest in our company, however, only
qualified candidates will be considered.
Keywords: Inizio Engage, Warwick , Field Reimbursement Manager, Healthcare , Providence, Rhode Island