Field Reimbursement Specialist Job at Cencora

Field Reimbursement Specialist

The Field Reimbursement Specialist (FRS) to serves as a subject-matter expert on...

Location

United States , Jersey City; Long Island; New York City; Brooklyn

Salary:

88700.00 - 126940.00 USD / Year

Cencora

Expiration Date

Until further notice

Requirements

Ability to conduct field-based reimbursement and access support, education, and consultation to key account customers and cross-functional partners
Understands the dynamics of specialty pharmacy
Experience in revenue cycle, formulary, benefit investigations, prior authorization, coding, and appeals processes
Deep understanding of pharmacy benefits/policies
Strong time management and planning skills
Proficient in Microsoft Word, Powerpoint, Excel, and Outlook
Live within a reasonable commuting distance of a major airport in the listed location and be able to travel within a territory that includes but may not be limited to New York City, NY, Brooklyn, NY, Queens, NY, and Long Island, NY
High School Diploma/GED required
Bachelor's degree or relevant practice management experience preferred
Previous experience as Field Reimbursement Manager/Specialist preferred

Job Responsibility

Educating providers and their office staff on access and reimbursement topics using client-approved resources
Supporting appropriate patient access to the client’s products by resolving reimbursement and coverage challenges
Collaborating with other patient assistance and reimbursement support services offered by the client
Educate provider office staff and practice managers on insurance issues relevant to the supported clients product, and inform the staff of important coverage and payer policy changes within assigned territories
Educate provider office staff with understanding the payers’ coverage management strategies for product, including coding, billing, formulary, prior authorization, and appeal processes
Probe to understand office processes and ability to discern root causes of access or reimbursement issues
Deliver interactive educational presentations at various provider sites of service
Provide information on relevant reimbursement topics related to our client’s products based on client’s approval
Performs other related duties as assigned

What we offer

Medical, dental, and vision care
Comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness
Support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave
Variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities

Fulltime

Senior Field Reimbursement Specialist

Under general supervision of a Senior Manager, the Sr Field Reimbursement Specia...

Location

United States , Remote

Salary:

100700.00 - 155100.00 USD / Year

Cencora

Expiration Date

Until further notice

Requirements

Experience related and progressively responsible in a medical practice, private or third-party reimbursement arena, or pharmaceutical industry in sales, managed care, or clinical support
Experience within healthcare provider support such as a physician practice, patient assistance program or similar pharmaceutical/biological support program experience preferred
Bachelor’s degree preferred
Minimum of 7 years of experience
Candidates must possess a Prior Authorization Certification Specialist (PACS) credentials from an industry approved licensing body, or obtain certification within the first six months of employment
Ability to effectively manage multiple client relationships and customer
Ability to manage and support external meetings, presentations, and client interactions
Ability to lead and work in a matrix environment
Proven teamwork and collaboration skills with a demonstrated record of accomplishment of working in highly matrixed and cross-functional organizations
Ability to manage multiple tasks, timelines, expenses, and other activities necessary to fulfill the roles and responsibilities of a Field Reimbursement Specialists

Job Responsibility

Plan and engage with customers, leveraging client approved resources, to educate on access and reimbursement topics relevant to assigned client’s product
Track progress and evaluate results of assigned activities
Recommends changes in procedures
Lead or direct more complex projects or certain aspects of projects
Operates with reasonable latitude for un-reviewed action or decision
Work within a matrix environment to collaborate with internal and external stakeholders to secure optimized patient access and provide appropriate education through a focused effort on healthcare providers in community, institutional, and academic medical settings
Manage daily activities that support appropriate patient access to our client’s products in the provider offices and healthcare institutions, working as a liaison to other patient assistance and reimbursement support services offered by our clients
Review patient insurance benefit options with appropriate authorizations
Validate prior authorization requirements
Understanding of Specialty Pharmacy processes

What we offer

medical
dental
vision care
comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness
support for working families
backup dependent care
adoption assistance
infertility coverage
family building support
behavioral health solutions

Fulltime

Employee Reimbursement Specialist

We are looking for an Employee Reimbursement Specialist to support accounts paya...

Location

United States , Centerville

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 2 years of experience in accounts payable, employee reimbursements, or a closely related finance operations role
Hands-on experience reviewing invoices, assigning account coding, and supporting payment processing activities such as ACH or check runs
Proficiency with NetSuite, Coupa, and Microsoft Excel in a transaction-heavy environment
Strong attention to detail with the ability to verify documentation accuracy and identify coding or processing discrepancies
Experience tracking inquiries, maintaining organized records, and following issues through resolution
Ability to create clear weekly reports and communicate volume trends, aging items, and operational risks to management
Degree in Accounting, Finance, Business, or related field

Job Responsibility

Manage the full employee reimbursement process by reviewing incoming submissions, confirming required support is included, coordinating next steps, and following each request through approval and payment
Conduct targeted quality reviews of invoice records in Smartsheet to confirm data accuracy, completeness, and correct coding before payment processing continues
Identify recurring errors or inconsistencies and communicate findings to the appropriate processing team so corrections can be made promptly
Maintain an organized log of vendor and internal payment questions, monitor open items, follow up on aging requests, and document final resolutions
Prepare weekly accounts payable activity reports that summarize workflow volume, outstanding exceptions, reimbursement status, inquiry aging, and payment release activity by region
Monitor workload patterns and raise concerns when trends suggest potential capacity constraints or processing delays
Provide additional invoice processing support during high-volume periods to help maintain service levels across regional teams
Act as backup support for regional processors during scheduled or unexpected absences to ensure continuity of daily AP operations

What we offer

medical
vision
dental
life and disability insurance
401(k) or deferred compensation plan (if eligible)
paid time off for vacation, personal needs, and sick time and paid holidays
Choice Time Off (CTO)
paid holidays

Employee Reimbursement Specialist

We are looking for an Employee Reimbursement Specialist to support accounts paya...

Location

United States , Centerville

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 2 years of experience in accounts payable, employee reimbursements, or a closely related finance operations role
Hands-on experience reviewing invoices, assigning account coding, and supporting payment processing activities such as ACH or check runs
Proficiency with NetSuite, Coupa, and Microsoft Excel in a transaction-heavy environment
Strong attention to detail with the ability to verify documentation accuracy and identify coding or processing discrepancies
Experience tracking inquiries, maintaining organized records, and following issues through resolution
Ability to create clear weekly reports and communicate volume trends, aging items, and operational risks to management
Degree in Accounting, Finance, Business, or related field

Job Responsibility

Manage the full employee reimbursement process by reviewing incoming submissions, confirming required support is included, coordinating next steps, and following each request through approval and payment
Conduct targeted quality reviews of invoice records in Smartsheet to confirm data accuracy, completeness, and correct coding before payment processing continues
Identify recurring errors or inconsistencies and communicate findings to the appropriate processing team so corrections can be made promptly
Maintain an organized log of vendor and internal payment questions, monitor open items, follow up on aging requests, and document final resolutions
Prepare weekly accounts payable activity reports that summarize workflow volume, outstanding exceptions, reimbursement status, inquiry aging, and payment release activity by region
Monitor workload patterns and raise concerns when trends suggest potential capacity constraints or processing delays
Provide additional invoice processing support during high-volume periods to help maintain service levels across regional teams
Act as backup support for regional processors during scheduled or unexpected absences to ensure continuity of daily AP operations

What we offer

Medical insurance
Vision insurance
Dental insurance
Life insurance
Disability insurance
401(k) or deferred compensation plan
Paid time off for vacation, personal needs, and sick time
Paid holidays

Substance Use Counselor

Outpatient MAT Opioid Treatment Program. Now Hiring: Substance Use Counselor. Fu...

Location

United States , Fitchburg

Salary:

27.88 - 29.81 USD / Hour

Acadia Healthcare

Expiration Date

Until further notice

Requirements

Master’s Degree in a relevant field is required, or one of the following credentials: CAC, CAS, CADC, CRC, LADC I, LADC II, LICSW, LCSW, LMHC, or LMFT
Bachelor’s Degree holders without credentials are encouraged to apply if they are committed to obtaining required credentials within 30-60 days of employment
For Bachelor’s-level candidates, we provide reimbursement for licensing or certification exam fees to support credential attainment
Degree obtained must be in psychology, social work, or related health services field from an accredited college or university
Previous experience in addiction recovery or behavioral health settings, such as outpatient, residential, or correctional facilities
Familiarity with Medication-Assisted Treatment (MAT), including methadone, buprenorphine, and naltrexone
Experience conducting individual and group counseling sessions focused on substance use recovery
Knowledge of evidence-based practices, such as Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), and relapse prevention techniques
Documentation experience, including maintaining clinical notes, treatment plans, and progress updates in accordance with state and federal guidelines
Familiarity with state regulatory standards (e.g., 42 CFR Part 2, HIPAA, Joint Commission standards)

Job Responsibility

Provide high quality, compassionate guidance in both individual and group counseling sessions
Plan, oversee, facilitate and document patient's recovery
Co-facilitate assigned group or family sessions as needed
Ensure all documentation regarding patient care, treatment, and incidents is completed timely and in a clear, concise manner
Prepare individual treatment plans for each assigned patient
Initial assessments as well as follow up assessments
Evaluate patient needs and determine if referrals to other programs or facilities are needed
May plan for aftercare for assigned patients
Provide crisis intervention to patients, as needed
Provide case management duties for patients, ensuring individualized quality care as needed

What we offer

Semi-Annual Bonus Program
Comprehensive Medical, Dental, and Vision insurance
Competitive 401(k) with employer match
Paid vacation and sick leave
Employer-paid clinical supervision (free to employees)
Free and unlimited access to 500+ accredited Continuing Education Units (CEUs)
Employee Assistance Program (EAP) supporting your mental health & well-being
Industry-leading growth and development opportunities
Eligible positions may qualify for student loan forgiveness through HRSA, depending on clinic site eligibility
For Bachelor’s-level candidates, we provide reimbursement for licensing or certification exam fees to support credential attainment

Fulltime

Key Account Manager - Cardiovascular

The Cardiovascular Account Manager will report into a Cardiovascular Account Dir...

Location

United States , Seattle

Salary:

159488.05 - 215777.95 USD / Year

Amgen

Expiration Date

Until further notice

Requirements

Doctorate degree & 2 years of sales experience and/or related account management experience
Master's degree & 4 years of sales experience and/or related account management experience
Bachelor's degree & 6 years of sales experience and/or related account management experience

Job Responsibility

Assess and diagnose the current business environment in each of their assigned accounts in relation to Amgen Cardiovascular products and plan/execute actions for success in these accounts
Work internally through the matrix team, and externally with customers to develop strong relationships for Amgen to support portfolio performance and brand strategies at multiple touch points and levels within complex partner organizations
Develops and executes innovative strategies to reach difficult to access health care providers and accounts in a compliant manner
Maintains comprehensive account profile / needs assessment / strategic plan
Responsible for routinely meeting with appropriate opinion leaders in Cardiology, Lipidology, Pharmacy, P&T Committee, etc., that act as partners or decision-makers within the Health System Manager assigned accounts
Presents MAC approved data and CV product messaging for approved CV products and delivers clinical messages compliantly within all governing policies
Accountable for ensuring formulary adoption in targeted / assigned hospital accounts to help drive appropriate utilization of approved CV products
works with other sales colleagues to lead and coordinate pull-through and access
Monitors Amgen business performance across Cardiovascular portfolio
Identifies drivers/barriers and coordinates pull-through initiatives across field teams (Sales Representatives, District Sales Managers, Regional Sales Directors, Reimbursement/Access Specialists, Nurse Educators, Regional Marketing Managers, and the Value Based Partnership Team)

What we offer

Retirement and Savings Plan with generous company contributions
Group medical, dental and vision coverage
Life and disability insurance
Flexible spending accounts
Discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan
Stock-based long-term incentives
Award-winning time-off plans
Flexible work models, including remote and hybrid work arrangements, where possible

Fulltime

Senior Oncology Specialist

In this vital role you will be the liaison to our customers by providing clinica...

Location

United States , Miami

Salary:

140465.00 - 190041.00 USD / Year

Amgen

Expiration Date

Until further notice

Requirements

Bachelor’s degree and 3 years of sales experience and/or clinical experience in healthcare / scientific field that is not sales related
Associate degree and 6 years of sales experience and/or clinical experience in healthcare / scientific field that is not sales related
High school diploma / GED and 8 years of sales experience and/or clinical experience in healthcare / scientific field that is not sales related

Job Responsibility

Create and execute on a comprehensive territory plan, which includes delivering branded sales messages, executing planned programs, scheduling and following-up with medical educational programs, and achieving or exceeding sales targets
Utilize your internal and external relationships to service and manage accounts, including ensuring product access, resolving/triage reimbursement issues, and maintaining product contracts
Craft an effective marketing strategy to aid in driving sales
Analyze your business effectiveness of sales activities and territory analysis, as well as develop territory plans with your District Manager
Have the passion for our products to sustain that passion through the entire sales cycle while always building our brand and never losing sight of how we serve patients
Partner with other colleagues to share best practices and be in a state of continuous curiosity and learning to help you grow as a Sr. Oncology Specialist
Leverage your passion for Oncology and disease state awareness, Industry, regulatory and competitive changes to deliver agreed results

What we offer

Retirement and Savings Plan with generous company contributions
group medical, dental and vision coverage
life and disability insurance
flexible spending accounts
discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan
Stock-based long-term incentives
Award-winning time-off plans
Flexible work models, including remote and hybrid work arrangements, where possible

Fulltime

Accounts Payable Specialist

We are looking for an Accounts Payable Specialist to join a growing internationa...

Location

United States , Metairie

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Bachelor’s degree in Accounting, Business, or a related field is preferred
At least 2 years of experience in accounts payable or a closely related accounting support role is preferred
Working knowledge of invoice coding, account coding, check runs, and ACH payment processing
Proficiency in Microsoft Excel and comfort working with financial data in spreadsheets
Strong attention to detail with the ability to manage multiple priorities in a fast-paced environment
Effective communication and customer service skills when working with vendors and internal business partners
Ability to stay organized, adapt to shifting demands, and maintain accuracy while handling frequent interruptions

Job Responsibility

Manage clerical and administrative activities that support the accounts payable and finance function on a daily basis
Review invoices for accuracy, assign appropriate coding, and prepare batches for timely entry and payment processing
Investigate and resolve payment discrepancies, vendor questions, and other accounts payable issues with care and urgency
Process employee expense submissions and maintain complete documentation for approvals and reimbursement tracking
Reconcile accounts payable subledger activity to the general ledger and help maintain accurate financial records
Prepare, verify, and distribute check payments and assist with ACH-related transactions, including requests requiring expedited handling
Receive, organize, and route incoming department mail, then file and maintain invoices, checks, and related financial documents
Support audit requests and contribute to special assignments and process-related tasks as needed by the accounting team

What we offer

medical
vision
dental
life and disability insurance
company 401(k) plan

Fulltime

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Field Reimbursement Specialist

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