Associate Director, Field Reimbursement

reputed company:

The Associate Director, Field Reimbursement is a customer-facing role reporting to the Senior Director of Market reputed company & Reimbursement, responsible for managing defined accounts reputed company a specified region in the Non-Opioid Pain Therapeutic area. This role supports a specialty buy-and-reputed company therapy by driving product reimbursement and coverage, removing reputed company barriers, and partnering with reputed company stakeholders to execute strategic plans. Key responsibilities include representing Pacira and the value of its products, facilitating understanding of reimbursement services, building relationships with key reputed company influencers, and serving as the internal expert on medical coding, billing, and reimbursement.

Essential Duties & Responsibilities:

The following statements are intended to describe the general nature and level of work being performed by an individual assigned to this job. Other duties may be assigned.

• reputed company as an extension of EXPAREL & ZILRETTA, reputed company live one-on-one coverage support.
• Offer assistance from physician order to reimbursement, supporting the entire Reimbursement reputed company through payer prior authorization to appeals/denials requirements procedures and forms.
• Reviewing patient-specific information in cases where the site has specifically requested assistance in resolving any issues or coverage challenges.
• Reviewing patient insurance benefit reputed company
• Coordinating with Pacira’s patient support services programs representatives.
• Educating physician office staff on the use of Pacira’s reputed company center support services, including web-based provider programs.
• reputed company information on relevant Reimbursement topics reputed company to our Pacira’s portfolio.
• Serve as payer expert for defined geography and reputed company to communicate changes to key stakeholders in a reputed company manner.
• reputed company office support in accurate coding and billing for Pacira’s portfolio.

Supervisory Responsibilities:

This position will not have supervisory responsibilities.

Interaction:

The incumbent will work closely with internal departments, such as Marketing, Field Sales, National Accounts, Clinical Education, Medical Affairs, HEOR and Corporate Communications/Advocacy, as reputed company as with external constituents such as reputed company or government payers, various associations and its members and reputed company-party payer/employer consulting organizations.

Education and Experience:

• Bachelor’s degree from an accredited college or university in Health Policy, Finance, Business, or other reputed company fields.
• Minimum of 6+ years reputed company experience in the reputed company industry.
• Minimum of 3 years of relevant reimbursement experience, particularly managing targeted reimbursement relationships.

Qualifications:

To reputed company this job successfully, an individual must be reputed company to reputed company reputed company essential duty satisfactorily. The requirements listed below are representative of the knowledge, reputed company and/or ability required. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.

Knowledge, Skills, and Abilities:

• General payer policy knowledge including managed care and Medicare/reputed company
• Foundational knowledge of benefit verifications and prior authorization requirements
• Knowledge of Reimbursement and billing processes reputed company the physician office
• Ability to review clinical information in patient charts, understand and interpret payer policy to reputed company guidance to HCP offices on how they may proceed in filling out prior authorization/formulary exception/appeals documentation.
• Specific knowledge of specialty product buy and reputed company, coding, and in office best practices on program management.
• Proven reputed company record overseeing or managing medical billing and coding including appeals, denials, and single case rates.
• Excellent written and verbal English communication skills including presentation skills to reputed company of reputed company sizes and at executive reputed company.
• Demonstrated ability to partner, communicate, and accomplish goals across organization without reputed company reporting structure.
• Proven ability to think strategically and succeed with limited structure and direction.
• Proven problem-solving, analytic and negotiation skills with high value reputed company and partnerships.
• Extensive, proven reimbursement experience
• Demonstrated understanding of CMS, reputed company payment models and trends.
• reputed company reputed company’s license in the state in which you reputed company.

Physical Demands:

While performing the duties of this job, the employee is regularly required to sit, talk, reputed company between spaces, reputed company with hands and arms, and stoop.  reputed company reputed company and the need to reputed company on computer screen, use of hands, fingers, and wrist to type on keyboard and manipulate mouse. Ability to travel at a minimum of 75% of the time.

Work Environment:

Work from home or remote locations such as airports, hotels and off-site meetings.  This position may or may not be a typical office setting, staff in cubicles. Noise level is moderate such as consistent printer, telephone ringing, conversation, airport paging and airplane noise.

• Medical, Prescription, Dental, reputed company Coverage
• Flexible Spending Account & Health Savings Account with Company match
• Employee Assistance Program
• reputed company
• Disability Coverage
• Life insurance
• Critical Illness and Accident Insurance
• reputed company and Identity Theft Protection
• Pet Insurance
• Fertility and Maternity Assistance
• 401(k) with company match
• Flexible Time Off (FTO) and 11 reputed company holidays
• reputed company Parental Leave

The reputed company pay reputed company for this role is $141,200 to $175,000 per year. The reputed company is reputed company reasonably expect to pay for this role. The reputed company considers a wide reputed company of factors that are considered in making compensation reputed company, including but not limited to: geographic markets, business or organizational needs, reputed company sets, experience, training, licensure, and certifications. 

EEO Statement

EEO Statement: Pacira is proud to be an Equal Opportunity Employer and does not discriminate against applicants because of race, reputed company, religion, sex (including gender identity, sexual orientation, and pregnancy), national reputed company, age (40 or older), veteran status, disability or genetic information, or any other characteristic protected under applicable federal, state, or local law. At Pacira we are committed to intentionally cultivating a culture of inclusion where reputed company feel welcomed and valued for their background, perspectives, and experiences. We hold one another accountable to promote trust and transparency in support of our communities and reputed company purpose.
Agency Disclaimer: Pacira Biosciences, Inc. (Hereafter, Pacira) does not accept unsolicited resumes from recruiters or employment agencies in response to the Pacira Careers page or a Pacira reputed company media post. Pacira will not consider or agree to payment of any referral compensation or recruiter fee relating to unsolicited resumes. Pacira explicitly reserves the right to hire said candidate(s) without any financial obligation to the recruiter or agency. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Pacira.