Title: Field Reimbursement Manager
Date Posted: April 25, 2025
Location: Sun - FS California, Los Angeles
Company: Sun Pharmaceutical Industries, Inc. (USA)
Job Overview:
The Field Reimbursement Manager is a part of the Market Access group supporting Sun’s branded products in the U.S. The primary goal of this role is to ensure appropriate patient access to care by supporting practices, accounts, and providers. This includes offering necessary support materials and education related to coverage, coding, payment, specialty pharmacy, and patient assistance programs. The role also involves monitoring payer policies and developing relationships with key advocacy leaders and state societies.
Area of Responsibility:
Execute local market plans to support field-based priorities
Educate and understand local health policy, reimbursement, billing/coding, and patient access issues
Collaborate with field partners to alleviate reimbursement and access issues impacting physician offices
Work with access services hub, managed markets team, and local field sales teams
Monitor payer policies and healthcare trends to maximize access to Sun products
Key Responsibilities:
Maximize access to Sun products through an understanding of dynamic marketplace trends
Deep knowledge of medical vs pharmacy benefits and policies
Understand the dynamics of specialty pharmacy and specialty distribution
Knowledge of physician buy-and-bill model vs assignment of benefits to alternate sites of care
Expertise in Medicare policies and their variations
Ensure effective communication with sales teams and support pull-through efforts
Effectively communicate with customers using proper terminology, selling, and negotiation skills
Maintain thorough knowledge of Sun products
Regularly communicate with managers and other support teams
Participate in teleconference, live National, regional, and district meetings, and conventions when needed
Ensure compliance with Healthcare Compliance guidelines
Job Qualifications:
Education: Minimum of a Bachelor’s Degree
Experience:
5+ years of healthcare industry experience, including:
3+ years of experience in insurance verification, claim adjudication, medical benefit procurement, and billing
Expertise in Commercial and Government payers, buy-and-bill models, and Medicare, Medicaid, Tricare
Experience in Dermatology and/or Oncology is a plus
Additional Skills:
Proven teamwork and collaboration skills
Strong verbal and written communication skills
Strong presentation and analytical skills
Ability to manage competing priorities
Experience in Sun Pharma’s therapeutic areas (Dermatology, Oncology, Biologics) preferred
Job Location: Los Angeles, California
Company Location: Sun Pharmaceutical Industries, Inc. (USA)
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