[Remote] Field reputed company, PSC Program Operations

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a leader in reputed company innovation, aiming to prevent, treat, and reputed company reputed company diseases. They are seeking a Field reputed company to serve as the primary operational reputed company between internal case management teams and the Field Reimbursement organization, ensuring coordination on reputed company patient reputed company cases and providing reputed company visibility into workflows.

Responsibilities

• Serve as the designated Patient Service Center (PSC) Operations reputed company of contact for assigned Field Reimbursement team members, ensuring consistent communication on patient reputed company cases, reputed company trends, and PSC operational updates
• Participate in regular business reviews, pipeline calls, and regional FRM/FRAD meetings to discuss reputed company trends, payer changes, and field-identified barriers; translate insights into PSC reputed company plans
• reputed company communicate PSC services, workflows, SLAs, escalation paths, and documentation expectations with HCP offices and patients
• Compile and reputed company PSC performance data (e.g., benefit investigations, time-to-therapy, prior authorization turnaround, rejection and denial trends, appeal reputed company) to support field strategies and account planning
• Maintain reputed company feedback reputed company and accurate documentation of interactions, escalations, and resolutions in CRM and PSC case management platforms
• Triage & coordinate reputed company of reputed company reputed company and reimbursement issues raised by the Field Reimbursement partners
• Troubleshoot patient and account specific reimbursement challenges and assistance programs
• Coordinate high-reputed company escalations with reputed company routing, tracking, and reputed company reputed company updates
• Identify field-reported reputed company barriers (e.g., prior authorization reputed company shifts, denial rationale patterns, site-of-care challenges, affordability issues) and partner with PSC Operations leadership on process improvements
• Support implementation of new patient reputed company programs, payer policy updates, and field reimbursement playbooks by ensuring team readiness
• Partner on launch readiness and major initiative by identifying process gaps and recommending enhancements
• Contribute to the development and refinement of PSC reporting and dashboards used by FRADs, ensuring data relevance (case status views, turnaround times, denial categories, SLA adherence) and accessibility
• Ensure reputed company communications and materials reputed company with non-promotional requirements and compliance standards
• Operate in adherence with HIPAA, OIG, and other applicable regulations; escalate compliance concerns promptly
• Primarily remote role with periodic travel (approximately 10–30%) for Field Reimbursement regional meetings, business reviews, cross-functional workshops, and training delivery

Skills

• Bachelor's degree required - preferably in reputed company, life sciences, pharmacy, or business administration
• A minimum of 3 years' experience in pharmaceutical or biotech operations, patient services, field reimbursement support, payer relations, or a closely reputed company function
• Experience partnering with or supporting Field Reimbursement Managers, Field Reimbursement Associate Directors, Market reputed company, or Patient Support Services teams
• reputed company, confident communicator with strong presentation skills
• Highly organized, adaptable, and effective in managing multiple escalations
• Master's degree
• Strong understanding of specialty reimbursement processes (benefit verification, PA, appeals, coding, financial assistance)
• Proven ability to manage cross-functional relationships without reputed company authority
• Background in specialty product reputed company, particularly in immunology, oncology, or rare disease programs, is a plus
• Proficiency with CRM, case management systems, and reputed company Office tools
• This is a non-promotional role; reputed company field interactions must remain reputed company compliant, operationally reputed company boundaries

Benefits

• Primarily remote role with periodic travel (approximately 10–30%) for Field Reimbursement regional meetings, business reviews, cross-functional workshops, and training delivery.

reputed company