Field Reimbursement Manager - East

The primary responsibilities of a Field Reimbursement Manager at Coherus include addressing access barriers for patients, collaborating with internal and external stakeholders to optimize reimbursement, educating healthcare practices on reimbursement processes, and analyzing reimbursement issues. This position requires proactive engagement with facility staff and a keen understanding of the reimbursement cycle to ensure seamless access to Coherus' oncology product portfolio.

To qualify for the Field Reimbursement Manager role at Coherus, candidates should have over 5 years of commercial experience in the pharmaceutical or biotech industry, along with at least 3 years focused on healthcare coverage and reimbursement. A background in oncology, direct experience with Buy and Bill products, and a Bachelor's degree are also crucial for this position.

A Field Reimbursement Manager plays a crucial role in enhancing patient access by educating healthcare facilities about Coherus' reimbursement support programs. They actively work to identify and alleviate barriers that may prevent patients from receiving necessary treatments, ensuring a streamlined process for integrating Coherus products into practice workflows.

Essential skills for a successful Field Reimbursement Manager at Coherus include strong knowledge of coding, billing processes, and payer healthcare policies. Candidates should also demonstrate effective communication and collaboration capabilities, as they will frequently partner with healthcare provider offices and internal teams to ensure comprehensive reimbursement education and support.

The Field Reimbursement Manager position at Coherus requires candidates to reside within the assigned territory and entails travel of up to 70%. This travel is primarily to connect with healthcare providers and facilities, ensuring they receive the necessary support and education regarding Coherus' products and reimbursement processes.

Start by assessing their current understanding and addressing their specific needs. Use tailored materials that highlight the benefits of Coherus products and the reimbursement processes. Building rapport and trust is essential, so be open to dialogue and questions.

Share a specific example that outlines the problem, your approach to solving it, and the outcome. Highlight your analytical skills and your ability to communicate effectively with stakeholders to achieve results.

I would leverage industry publications, participate in webinars, and maintain a network of industry contacts to gather insights. Staying proactive about continuous learning is key to adapting to policy changes.

Effective prioritization requires understanding the urgency and impact of each task. I would utilize a combination of tools like calendars and task management apps to stay organized while also being adaptable to urgent requests from healthcare providers.

Discuss your direct experience implementing initiatives related to Medicare and Medicaid, including any specific programs you have worked on that enhanced patient access or addressed reimbursement issues.

I would listen to their concerns empathetically and provide clear, factual information about our policies and why they are in place. Building understanding and aligning with their goals is essential to resolving conflicts.

Provide details about your specific experience with coding systems and claim processes, including any relevant certifications or training. Highlight your familiarity with CPT, HCPCS, and ICD-10 codes as they relate to your previous roles.

Success in this role hinges on strong communication and collaboration skills, a deep understanding of reimbursement processes, and a commitment to ongoing education to ensure you meet the needs of the practices you serve.

I believe in fostering open communication and a collaborative spirit among team members. Regular check-ins and sharing insights ensure everyone stays aligned toward common goals, especially when supporting patient access initiatives.

Regularly reviewing industry reports, attending conferences, and subscribing to relevant newsletters helps me maintain a pulse on the latest trends. Engaging with professional networks also provides valuable insights into emerging challenges and opportunities.