Field Reimbursement Manager at Harrow, Inc. (View all jobs)West Coast
Before reading the job post, we encourage you to watch this video about our company. It gives you an inside look at how we started, the team and culture that made us successful, and where we're going. It's easy to read a job post and apply, but people often wonder about the culture and whether they would fit in. If you want to call Harrow your home and genuinely want to be part of a family and something big, then we encourage you to click this link and get to know us. Who is Harrow? Harrow (Nasdaq: HROW) is a leading U.S. ophthalmic-focused pharmaceutical company. The Company was founded and continues operating based on the highest corporate values. Members of our Harrow Family often express their pride in being a part of our commitment to (1) innovation, (2) patient access to and affordability of our medicines, and (3) our track record of having never turned down an ophthalmologist doing mission work around the world – providing free medicines in support of mission work aimed at giving or maintaining the gift of sight to those most in need.
At Harrow, we foster our individual and collective entrepreneurial and creative spirits. We focus on pursuing opportunities for drug candidates in underserved markets. We are data-driven and use our access to real-world clinical experience to lower the investment risks of our work. We concentrate on the commercial appeal of high-value assets, and our objective is to seek to make paradigm-shifting medicines available to patients as soon as possible. Our approach to finding high-value opportunities and balancing risk with real-world experience can deliver exceptional value for all our stakeholders.
Harrow's ophthalmic pharmaceutical portfolio is one of the most comprehensive in the industry, including:
IHEEZO:A broad Dry Eye Disease product line, led by VEVYE® and bolstered by well-known adjacent ocular surface disease products such as FLAREX® and TOBRADEX® ST;TRIESENCE®:A Specialty Anterior Segment product line, which includes various high-need and utility products such as ILEVRO®, NEVANAC®, and VERKAZIA®;ImprimisRx is the nation's leading ophthalmology-focused compound pharmacy, including an FDA-registered and FDA-inspected 503B outsourcing facility and a 50-state mail-order pharmacy. The division of Harrow serves as an innovation hub and plays a vital role in Harrow's mission to help patients maintain their gift of sight. Job Summary Reporting to the Director, Access & Reimbursement, the Field Reimbursement Manager (FRM) will work with healthcare provider accounts and facilities to support access for Harrow's ocular buy-and-bill products at both Ambulatory Surgery Centers (ASCs) and Retina physician practices. The FRM does this by providing product-specific provider reimbursement education and support as it relates to coverage, coding, and payment. The FRM will also work on patient level reimbursement issues, when authorized by providers/HCPs.
Core Responsibilities Responsible for managing an assigned geography and providing product reimbursement assistance and approved support tools and resources to healthcare providers in physician practices and facilities.
Provide in-person or virtual support to educate and train provider accounts and facilities on coverage, coding, and payment of Harrow's buy-and-bill-products.Assists healthcare providers and staff work through reimbursement barriers and understand the payer landscape. Working knowledge of buy-and-bill and medical benefit reimbursement, as well as a clear understanding of Medicare, Medicare Advantage, Commercial, and Medicaid insurance plans and benefit designWorks effectively with multiple key stakeholders (sales, marketing, managed markets, compliance, legal, and regulatory) in a matrixed environment to achieve business objectives and key performance indicators (KPIs)Subject matter expert on reimbursement processes (i.e., benefit verification, prior authorization, claim assistance, and appeals) and knowledgeable of current ocular market dynamicsReviewing patient specific cases where authorization has been granted by the provider/HCP to resolve issues or coverage challengesBuilds and maintains strong relationships with healthcare provider practices and facilities, while implementing and managing field reimbursement responsibilitiesConducts all work activities in compliance with all internal requirements and meets all applicable business, compliance, legal, and regulatory requirements Qualifications & Requirements 5+ years of proven success in a healthcare-related field reimbursement, brand management and/or sales experienceBachelor's degree requiredBuy-and-Bill experience requiredMinimum 2 years Field Reimbursement experience requiredHealthcare credentialing and/or certification preferredEye care experience preferredPrivate Equity experience preferredHCPCS Level II (J-code) and Transitional Pass-Through reimbursement preferredExperience with benefit verifications, prior authorizations, claim assistance, and appealsPayer coverage experience with Medicare (MACs), Medicare Advantage, Commercial, and Medicaid plans Position Type Remote Travel Travel up to 50%
