The Field Reimbursement Manager (FRM) is a regionally aligned, field-based position that provides reimbursement education and support for customers that purchase ophthalmic products from EyePoint Pharmaceuticals. Customers may include hospitals/hospital outpatient departments, physician practices, and other appropriate site-of-care facilities as well as specialty pharmacies. The FRM will work closely with HCPs, pharmacists, billing and coding staff and other professionals involved in securing appropriate reimbursement for the use of EyePoint products.
The FRM provides support through (1) product-specific provider reimbursement support, (2) coordination of HUB reimbursement services, and (3) managing payer/coverage pull-through initiatives. The FRM must have a solid working knowledge of buy-and-bill reimbursement, as well as a clear understanding of Medicare, Medicare Advantage, Commercial, and Medicaid insurance plans and benefit design.
The FRM is expected to be a subject matter expert on reimbursement processes (i.e., benefit verification, prior authorization, claim assistance, and appeals) and knowledgeable of current eyecare market dynamics. In addition, the FRM needs to build and maintain strong relationships with health care provider practices and facilities, while implementing and managing field reimbursement responsibilities. The FRM role includes a great deal of travel, and requires a high degree of communication, account coordination and cross-functional collaboration.
Essential responsibilities of the FRM include:
Internal and External Contacts:
The FRM must work effectively with multiple key EyePoint stakeholders in a matrix environment to achieve target objectives and meet established KPIs.
Internal: Market Access, Field Sales, Marketing, other Patient Services teams (including outsourced hub services), and MSL (as needed)
External: HCPs, pharmacy, and billing/coding staff associated with key customers, as well as patients being treated in these institutions
Education and Experience Requirements:
Key Skills, Abilities and Competencies:
Complexity and Problem Solving:
Other Job Requirements:
Position requires extensive domestic travel (up to 80%)