Job Description

At EVERSANA, we are proud to be certified as a Great Place to Work worldwide. Our vision is to create a healthier world by delivering next‑generation commercialization services to the life sciences industry. Our global team of more than 7,000 employees is committed to creating and delivering innovative therapies to patients. Field Reimbursement Manager (Dermatology) EVERSANA seeks a Field Reimbursement Manager to minimize access and reimbursement barriers for patients and healthcare providers, ensuring timely access to the product portfolio. The FRM serves as a trusted resource for private practices, multi‑specialty groups, and facilities throughout the reimbursement cycle. Essential Duties and Responsibilities Proactively address patient access barriers by resolving complex reimbursement issues, including prior authorizations, appeals, and denials. Educate private practices, multi‑specialty groups, facilities, and staff on reimbursement support programs, coverage, coding, and payer policies. Partner with internal and external stakeholders to identify, anticipate, and address patient and practice reimbursement challenges. Collaborate cross‑functionally with Market Access, Patient Services, and Field Sales to provide compliant support for patients’ access to therapy. Deliver clear and actionable information to practice managers, billing staff, nurses, and reimbursement teams to improve their understanding of payer policies and processes. Provide real‑time communication on payer policy updates and system changes that impact patient access in assigned accounts. Conduct regular reviews with practices to understand their utilization of reimbursement support services and recommend program enhancements based on customer needs. Handle patient health information (PHI) in accordance with HIPAA guidelines and company compliance policies. Demonstrate commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and proactively managing bias. Maintain deep understanding of policies, industry trends, and legal and compliance aspects of reimbursement, applying this knowledge to all responsibilities. Ensure compliant relationships with state, local, and institutional societies while educating and supporting practices and accounts. Share insights into customer needs, potential access barriers, and payer trends with internal teams to drive actionable improvements. Qualifications Bachelor’s Degree. Proven experience resolving complex patient access challenges, including prior authorizations, appeals, and denials. Strong knowledge of the U.S. healthcare system, reimbursement policies, and patient assistance programs. Familiarity with handling PHI under HIPAA and other relevant legal frameworks. Expertise in sales, account management, marketing, or market access. Demonstrated ability to collaborate cross‑functionally and manage stakeholder relationships effectively. Ability to analyze customer insights and market dynamics to adapt strategies for patient access and support. Willingness to travel as needed for field activities, meetings, and conferences, including overnight travel (>75%). Diversity, Equity & Inclusion EVERSANA is an Equal Opportunity Employer. We celebrate diversity and are committed to an inclusive environment where all employees can thrive. EEO Statement We are an equal opportunity employer. All qualified applicants, including individuals with disabilities and veterans, will receive consideration for employment without regard to race, color, religion, national origin, gender, sexual orientation, age, or disability status. We respect individuals’ personal rights and would never request personal information or payment during the employment process. #J-18808-Ljbffr EVERSANA

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