FRM Field Reimbursement Manager. Patient Access Manager, Biologic Coordinator, LPN, RN, CPhT with Specialty Pharmacy exp looking for expand their career. I have 2 openings, both in Los Angeles County. These are Travel positions. You live in the area and cover the territory by car visiting health care provider offices. Base pay is $121K Territory 1) Downey to Irvine Territory 2) Pasadena to Long Beach (will also be responsible for some visits to Orange County) PRIORITY given to candidates experienced in the specialty drug prior authorization process and familiar with the CoverMyMeds portal. The best candidate will be an expert in Specialty drug Prior Authorizations and working appeals to gain a prior authorization, with territory management experience, and experience training and educating provider office staff. A great FRM candidates will demonstrate: 1) Determination to work through all roadblocks and barriers to get the medications approved and paid for. 2) Expertise in all: Specialty Drug Prior authorizations through portals, benefits investigations , Medicaid and Medicare Part D, working appeals and denials. 3) 2+ years experience in: escalations, education, Patient Assistance program approvals , foundation coverage, guidelines, and reimbursement. 4) Ability to keep up with changes and updates to drug programs, new FDA indications, miscellaneous J-codes, and payer policy changes that impact reimbursement. 5) Degree is not required. This is a true temp-to-hire. This is better than just a contract; Ask me, I will explain! Please email me resume (with your city state zip code please) . I do have many positions in various territories around the USA. All territories must live in the territory, and will TRAVEL 80%. That is 4 days in the field!
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