Field Reimbursement Manager

Posted 2 Days Ago
Be an Early Applicant
El Segundo, CA
160K-175K Annually
Senior level
Healthtech • Biotech
The Role
The Field Reimbursement Manager educates and supports providers on reimbursement and access for therapeutic products. This role involves analyzing reimbursement issues, serving as a resource for sales personnel, and building relationships with regional payers to enhance access to company products.
Summary Generated by Built In

Company Overview
ImmunityBio, Inc. (NASDAQ: IBRX) is a commercial-stage biotechnology company developing cell and immunotherapy products that are designed to help strengthen each patient’s natural immune system, potentially enabling it to outsmart the disease and eliminate cancerous or infected cells. We envision a day when we no longer fear cancer, but can conquer it, thanks to the biological wonder that is the human immune system. Our scientists are working to develop novel therapies that harness that inherent power by amplifying both branches of the immune system, attacking cancerous or infected cells today while building immunological memory for tomorrow. The goal: to reprogram the patient’s immune system and treat the host rather than just the disease.
Why ImmunityBio?
• ImmunityBio is developing cutting-edge technology with the goal to transform the lives of patients with cancer and develop next-generation therapies and vaccines that complement, harness and amplify the immune system to defeat cancers and infectious diseases.
• Opportunity to join a publicly traded biopharmaceutical company with headquarters in Southern California.
• Work with a collaborative team with the ability to work across different areas of the company.
• Ability to join a growing company with professional development opportunities.

Position Summary

The Field Reimbursement Manager proactively provides education and support to appropriate providers and their offices/staff on reimbursement programs for designated therapeutic products in their defined geography / aligned accounts. The role will serve as the key contact and lead for reimbursement and access support-related matters as well as be the market access expert on payer, policy and processes. The Field Reimbursement Manager will analyze reimbursement and access issues and serve as the regional access and reimbursement resource for field sales force personnel and area management. In this hybrid role, the role is also responsible for developing and maintaining relationships with Regional Payers in order to reduce barriers (checks and step-edits) with the Payers improving ease of access to company products for health care providers. 

Essential Functions

  • Provide live face-to-face and virtual engagements, using approved tools, to support and address questions about coverage requirements and educating physician office staff on the use of the patient assistance programs and call center support services
  • For aligned Regional Payers: monitor, document and influence coverage and utilization policy for appropriate on-label access to the IBRX portfolio
  • For aligned providers: deliver education and services pertaining to access, coverage, coding, reimbursement, and affordability of IBRX products
  • Serve as reimbursement expert for defined geography and proactively communicates changes to key stakeholders in a timely manner
  • Anticipate and respond to reimbursement challenges in assigned geography
  • Educate healthcare professionals concerning information and processes involving IBRX HUB Support Services
  • Attend and proactively plan strategic interactions at key industry conferences
  • Work cross-functionally with Sales Representatives, Regional Sales Directors, Marketing, National Medical, and HUB services, as required
  • Achieve targets and objectives set by senior leadership
  • Track and analyze HUB portal data for specific geography
  • Assist with training and ongoing education of cross-functional partners
  • Interact with customers according to IBRX’s compliance policies and procedures
  • Perform other duties as assigned

Education & Experience

  • Education: Bachelor’s Degree required
  • Minimum of 12 years of US pharmaceutical industry or other healthcare-focused reimbursement experience
  • 5+ years of experience working with customers in a market access capacity
  • Demonstrated ability to resolve access barriers
  • Oncology and infused specialty product launch experience
  • Demonstrated ability to effectively collaborate with cross functional business partners
  • Demonstrated planning and communication skills; ability to present complex information to multiple stakeholders

Knowledge, Skills, & Abilities

  • Comprehensive understanding of Medicare Parts A, B, C, D and knowledge of commercial insurance reimbursement including familiarity with HCPCS level I/II and IDC-10 billing codes
  • Clinical, technical, and scientific knowledge and aptitude in complex disease states
  • Ability to operate as a team player, collaborating with multiple sales representatives, sales leadership, and internal colleagues to reach common goals
  • Excellent verbal and written skills, allowing for an open and effective dialogue throughout the company
  • Accountability, Integrity, and Trust
  • Ability to anticipate issues and respond quickly, flexibly and creatively to solve problems and address challenges
  • Excellent planning, organization and time management skills, including the ability to support and prioritize multiple projects
  • Results-oriented individual who is highly motivated, decisive, flexible in thought, and has the creativity to excel in and contribute to a rapidly growing company
  • Forward thinking mindset with the ability to manage multiple projects, and identify and resolve issues

Working Environment / Physical Environment

  • Remote
  • Up to 50% Travel

This position is eligible for a discretionary bonus and equity award. The annual base pay range for this position is below. The specific rate will depend on the successful candidate’s qualifications, prior experience as well as geographic location.

$160,000 (entry-level qualifications) to $175,000 (highly experienced) annually

The application window is anticipated to close on 60 days from when it is posted or sooner if the position is filled or closed.

ImmunityBio employees are as valuable as the people we serve. We have built a resource of robust benefit offerings to best support the total wellbeing of our team members and their families. Our competitive total rewards benefits package, for eligible employees, include: Medical, Dental and Vision Plan Options • Health and Financial Wellness Programs • Employer Assistance Program (EAP) • Company Paid and Voluntary Life/AD&D, Short-Term and Long-Term Disability • Healthcare and Dependent Care Flexible Spending Accounts • 401(k) Retirement Plan with Company Match • 529 Education Savings Program • Voluntary Legal Services, Identity Theft Protection, Pet Insurance and Employee Discounts, Rewards and Perks • Paid Time Off (PTO) includes: 11 Holidays • Exempt Employees are eligible for Unlimited PTO • Non-Exempt Employees are eligible for 10 Vacation Days, 56 Hours of Health Pay, 2 Personal Days and 1 Cultural Day • We are committed to providing you with the tools and resources you need to optimize your Health and Wellness.

At ImmunityBio, we are an equal opportunity employer dedicated to diversity in the workplace. Our policy is to provide equal employment opportunities to all qualified persons without regard to race, gender, color, disability, national origin, age, religion, union affiliation, sexual orientation, veteran status, citizenship, gender identity and/or expression, or other status protected by law.

ImmunityBio is a mandatory vaccination employer for COVID-19 and its variants. The Company requires that its employees be fully vaccinated as of their start date. If you require a medical or religious accommodation we will engage in the interactive process with you. Proof of vaccination will be required prior to start. If we make you an offer and you are not yet vaccinated, we will accommodate a delay in start date. ImmunityBio may also mandate that its employees receive vaccine boosters, and all accommodation laws will be followed.

The Company
547 Employees
On-site Workplace

What We Do

ImmunityBio, Inc. (formerly NantKwest, Inc.) is developing cell and immunotherapy products that are designed to help strengthen each patient’s natural immune system, potentially enabling it to outsmart the disease and eliminate cancerous or infected cells. The activation of the innate immune system is key to the development of immunological memory.

Over the last two decades, our founder and Executive Chairman Dr. Patrick Soon-Shiong has investigated mechanisms to activate the immune system to attack tumors that can otherwise evade and escape the body’s defense mechanisms. After inventing the world’s first protein nanoparticle drug, Abraxane, Dr. Soon-Shiong turned his focus to the next generation of immunotherapies. ImmunityBio was founded in 2014 to create innovative immunotherapies that address serious unmet needs in oncology and infectious diseases.

"At ImmunityBio, we envision a day when we no longer fear cancer but are able to conquer it, thanks to the biological wonder that is the human immune system. Our scientists are working to develop remarkable new therapies that harness that inherent power by amplifying both branches of the immune system, attacking cancerous or infected cells today while building immunological memory for tomorrow. The goal: to reprogram the patient’s immune system and treat the host rather than just the disease." -Dr. Patrick Soon-Shiong, Executive Chairman

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