Title: Field Reimbursement Manager
Date Posted: April 24, 2025
Location: FS - Sun
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. This role primarily focuses on ensuring appropriate patient access to care by providing support materials and education to practices, accounts, and providers. Key areas of focus include reimbursement, coding, specialty pharmacy, and patient support services.
Job Scope:
Execute local market plans to support field-based priorities
Educate on 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 national and local healthcare payer policies
Develop relationships with key advocacy leaders and state societies
Provide direct support to prescribing physicians, hospitals, and support staff regarding reimbursement and product access issues
Key Responsibilities:
Maximize access to Sun products by understanding and addressing dynamic marketplace trends
Have a deep understanding of medical vs pharmacy benefit and policies
Understand the dynamics of specialty pharmacy and specialty distribution
Establish alternative sites of care to support patient access
Possess expertise in Medicare policies and variations within all parts of Medicare
Communicate effectively with sales teams to ensure clarity of reimbursement and access issues
Maintain thorough knowledge of Sun products and their reimbursement processes
Regularly communicate with managers and support teams
Participate in national, regional, and district meetings and conventions when requested
Ensure compliance with Healthcare Compliance guidelines
Job Qualifications:
Education: Bachelor’s Degree required
Experience: 5+ years of healthcare industry experience, including:
3+ years of experience in insurance verification, claim adjudication, billing, medical benefit procurement, and understanding of various payer models (Commercial, Government, Medicare, Medicaid, Tricare)
Experience in Dermatology and/or Oncology is a plus
Additional Skills:
Strong teamwork and collaboration skills
Ability to manage competing priorities
Strong verbal and written communication skills
Strong presentation and analytical skills
Experience in Sun Pharma’s therapeutic areas (Dermatology, Oncology, Biologics) preferred
Job Location: FS - Sun
Company Location: Sun Pharmaceutical Industries, Inc. (USA)
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