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Field Reimbursement Manager - Dallas, TX

Company Description

At EVERSANA, we are proud to be certified as a Great Place to Work across the globe. We’re fueled by our vision to create a healthier world. How? Our global team of more than 7,000 employees is committed to creating and delivering next-generation commercialization services to the life sciences industry. We are grounded in our cultural beliefs and serve more than 650 clients ranging from innovative biotech start-ups to established pharmaceutical companies. Our products, services and solutions help bring innovative therapies to market and support the patients who depend on them. Our jobs, skills and talents are unique, but together we make an impact every day. Join us! 

Across our growing organization, we embrace diversity in backgrounds and experiences. Improving patient lives around the world is a priority, and we need people from all backgrounds and swaths of life to help build the future of the healthcare and the life sciences industry. We believe our people make all the difference in cultivating an inclusive culture that embraces our cultural beliefs.  We are deliberate and self-reflective about the kind of team and culture we are building. We look for team members that are not only strong in their own aptitudes but also who care deeply about EVERSANA, our people, clients and most importantly, the patients we serve.   We are EVERSANA.  

Job Description

*Territory includes Texas and Oklahoma. 

The EVERSANA/Mitsubishi Tanabe Pharma America (MTPA) Field Reimbursement Manager is a field-based role that provides in person education to defined accounts within their assigned geographies on a range of access and reimbursement issues in support MTPA products.

EVERSANA Deployment Solutions offers our employees competitive compensation, paid time off, company paid holidays, excellent training, employee development programs, 401K plan with an employer match, and an incredible list of comprehensive employer benefits that includes medical, dental, and vision insurance along with a whole host of other valuable programs.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Our employees are tasked with delivering excellent business results through the efforts of their teams.  These results are achieved by:

  • Manage daily field-based activities to support appropriate patient access in key neurology centers and provider offices
  • Execute collaborative territory plan through partnership with internal and external stakeholders, which may include call center services (HUB), sales, market access, and other partners
  • Interacts frequently in the field (60-70% of the time) with key stakeholders in multiple sites of care including, physician practices, hospitals, and other sites of care.
  • Serve as a subject matter expert in educating healthcare provider staff on approved patient access services
  • Collaborate with various internal field teams to ensure appropriate education in assigned geography
  • Review and educate offices on payer policy, such as prior authorization requirements to ensure patient access
  • Reviews patient-specific information in cases where the site has specifically requested assistance in resolving issues or coverage challenges.
  • Provides feedback to internal teams on local payer trends and access issues
  • Performs other duties as required

#LI-CG1

Qualifications

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES:

The requirements listed below are representative of the experience, education, knowledge, skill and/or abilities required.

  • Bachelor’s degree required
  • Minimum of 5 years of pharmaceutical industry with experience in payer policy and reimbursement
  • Minimum of 3 years of benefit verifications and prior-authorization requirements experience or equivalent experience in patient access, billing and coding in rare disease
  • Knowledge of Centers of Medicare & Medicaid Services (CMS) policies and processes with experience in Medicare Part D 
  • Self-direction coupled with strong organizational skills
  • Outstanding interpersonal skills, consultative approach, and customer orientation; proven ability to build and maintain strong working relationships with internal and external customers
  • Strong communication skills: oral, written, training/presentation
  • Proficient in MS Office
  • Must be able to travel up to 60-70% domestically
  • Valid driver’s license to drive to healthcare provider sites

Additional Information

OUR CULTURAL BELIEFS

Patient Minded - I act with the patient’s best interest in mind.

Client Delight - I own every client experience and its impact on results.

Take Action -  I am empowered and hold myself accountable.

Grow Talent - I own my development and invest in the development of others. 

Win Together - I passionately connect with anyone, anywhere, anytime to achieve results.

Communication Matters -  I speak up to create transparent, thoughtful and timely dialogue.

Embrace Diversity - I create an environment of awareness and respect.

Our team is aware of recent fraudulent job offers in the market, misrepresenting EVERSANA. Recruitment fraud is a sophisticated scam commonly perpetrated through online services using fake websites, unsolicited e-mails, or even text messages claiming to be a legitimate company. Some of these scams request personal information and even payment for training or job application fees. Please know EVERSANA would never require personal information nor payment of any kind during the employment process. We respect the personal rights of all candidates looking to explore careers at EVERSANA.

From EVERSANA’s inception, Diversity, Equity & Inclusion have always been key to our success. We are an Equal Opportunity Employer, and our employees are people with different strengths, experiences, and backgrounds who share a passion for improving the lives of patients and leading innovation within the healthcare industry. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion, and many other parts of one’s identity. All of our employees’ points of view are key to our success, and inclusion is everyone's responsibility.

Consistent with the Americans with Disabilities Act (ADA) and applicable state and local laws, it is the policy of EVERSANA to provide reasonable accommodation when requested by a qualified applicant or candidate with a disability, unless such accommodation would cause an undue hardship for EVERSANA. The policy regarding requests for reasonable accommodations applies to all aspects of the hiring process. If reasonable accommodation is needed to participate in the interview and hiring process, please contact us at [email protected].

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Average salary estimate

$90000 / YEARLY (est.)
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$80000K
$100000K

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What You Should Know About Field Reimbursement Manager - Dallas, TX, EVERSANA

As the Field Reimbursement Manager at EVERSANA, based in Dallas, TX, you will play a crucial role in enhancing patient access to vital medications. Your daily routine will involve educating healthcare providers about access and reimbursement processes related to Mitsubishi Tanabe Pharma America (MTPA) products, a task you’ll perform in key neurology centers and provider offices across Texas and Oklahoma. At EVERSANA, we are committed to our mission of improving healthcare outcomes, and as part of our diverse team of over 7,000 professionals, you will have the opportunity to make a significant impact on patient lives. You’ll manage field-based activities, collaborating with internal and external stakeholders, ensuring teams are unified in their efforts to support patients. With 60-70% of your time spent in the field, you will interact with practice staff, helping them navigate payer policies and prior authorization processes. As a subject matter expert, your insights will be vital in relaying information back to our internal teams to address local payer trends and access challenges. With a bachelor’s degree and extensive experience in the pharmaceutical industry, you’ll be well-equipped to present and deliver impactful training and education. Join us at EVERSANA where your contributions will help drive patient-centered care and innovation in the life sciences.

Frequently Asked Questions (FAQs) for Field Reimbursement Manager - Dallas, TX Role at EVERSANA
What are the responsibilities of a Field Reimbursement Manager at EVERSANA?

As a Field Reimbursement Manager at EVERSANA, your primary responsibilities will include managing field-based activities to support patient access in healthcare facilities, educating providers on patient access services, and collaborating with internal teams. You will also review payer policies, assist in resolving coverage challenges, and provide valuable feedback on payer trends relevant to Mitsubishi Tanabe Pharma America products.

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What qualifications are required for the Field Reimbursement Manager position at EVERSANA?

To qualify for the Field Reimbursement Manager role at EVERSANA, candidates must possess a bachelor's degree and have a minimum of 5 years of experience in the pharmaceutical industry, particularly in payer policy and reimbursement. Additionally, candidates should have at least 3 years of experience with benefit verification and prior authorization, along with strong interpersonal and communication skills.

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How does the Field Reimbursement Manager at EVERSANA support patient access?

The Field Reimbursement Manager at EVERSANA supports patient access by providing in-person education to healthcare providers about MTPA products and the associated reimbursement processes. This includes helping practices understand prior authorization requirements and local payer policies, ultimately facilitating a smoother access experience for patients.

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What is the work environment like for the Field Reimbursement Manager at EVERSANA?

The work environment for a Field Reimbursement Manager at EVERSANA is dynamic and collaborative, focusing on real-world interactions with healthcare providers. With 60-70% of the role being field-based, you will engage frequently with key stakeholders in various healthcare settings, making every day uniquely challenging and rewarding.

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What benefits does EVERSANA offer for the Field Reimbursement Manager position?

EVERSANA offers a competitive benefits package for the Field Reimbursement Manager position, which includes paid time off, company-paid holidays, comprehensive medical, dental, and vision insurance, an excellent 401K plan with employer matching, professional development opportunities, and much more to support the well-being of its employees.

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Common Interview Questions for Field Reimbursement Manager - Dallas, TX
Can you describe your experience with payer policies and reimbursement?

Be prepared to discuss specific instances where you've navigated payer policies effectively. Highlight your understanding of the reimbursement landscape, including any hands-on experiences with prior authorizations and benefit verifications, demonstrating how you have ensured patient access in previous roles.

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How do you prioritize tasks in a field-based role?

Start by discussing your organizational skills and any tools you use for planning your territory visits. Share examples of how you've balanced multiple priorities, perhaps by focusing on the most impactful accounts first or utilizing data to identify needs in your territory.

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What strategies do you use to build relationships with healthcare providers?

Explain your consultative approach, stressing active listening and genuine engagement. Highlight specific techniques you've used in the past to build trust and rapport with providers, which are crucial for successful collaboration.

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How do you stay updated on changes in healthcare reimbursement policies?

Talk about industry resources you follow, including professional organizations or relevant publications, and how you leverage these insights to keep your knowledge current. Mention any networks or peer groups that help you exchange information.

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Describe a challenging situation you faced related to patient access and how you resolved it.

Share a specific case where you encountered obstacles in accessing therapy for a patient. Walk through the steps you took, emphasizing problem-solving skills, collaboration with internal teams, and compliance with regulations, to successfully resolve the issue.

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What role does data play in your approach to managing your territory?

Articulate how you leverage analytics to monitor performance metrics, assess physician engagement levels, and identify trends within your territory. Highlight the balance between data-driven decision-making and building human connections.

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How do you educate stakeholders about new reimbursement policies?

Discuss your approach to training and presentations, perhaps focusing on crafting informative materials that are easy to understand. Share an example of how you've effectively rolled out education initiatives in the past.

Join Rise to see the full answer
Can you give an example of a successful collaboration with a cross-functional team?

Provide a specific example to illustrate your collaboration skills. Highlight your role in facilitating communication between departments and how this led to improved patient access outcomes or streamlined processes.

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What motivates you to work in the pharmaceutical reimbursement field?

Reflect on your passion for patient advocacy and the impact that access to medication has on health outcomes. Speak about your desire to contribute to innovative solutions that help providers and patients navigate the complexities of reimbursement.

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How do you handle conflicts that arise with providers or internal teams?

Explain your conflict resolution approach, stressing diplomacy and open communication. Share a scenario where you successfully managed a conflict by finding common ground and reaching a satisfactory resolution for all parties involved.

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A Vision to Advance Life Sciences Services “Sana” is latin for healthy. So naturally, when service leaders – spanning the patient experience to global channel distribution – combined into one powerful platform, we became EVERSANA. Together, we w...

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DATE POSTED
April 14, 2025

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