Field Reimbursement Manager-Southwest

Before reading the job post, we encourage you to watch this video about our company. It gives you an inside look at how we started, the team and culture that made us successful, and where we're going. It's easy to read a job post and apply, but people often wonder about the culture and whether they would fit in. If you want to call Harrow your home and genuinely want to be part of a family and something big, then we encourage you to click this link and get to know us.

Who is Harrow?

Harrow (Nasdaq: HROW) is a leading North American ophthalmic-focused pharmaceutical company. Harrow is an incredible entrepreneurial company – where we celebrate the ability of every member of the Harrow Family to be the CEO of their job. Harrow’s values have driven interest over the past decade in attracting high-performing professionals in a variety of disciplines. Members of our Harrow Family often express their pride in being a part of our commitment to (1) innovation, (2) patient access to affordable medicines, and (3) our track record of having never turned down an ophthalmologist doing mission work around the world – providing free medicines in support of mission work aimed at giving or maintaining the gift of sight to those most in need.  We encourage you to learn more about Harrow and its unique culture to see if you’re the right person to help contribute as we build a truly exceptional company, one we are all so proud of!

Harrow’s ophthalmic pharmaceutical portfolio is one of the most comprehensive in the industry, including:

• An expanding Posterior Portfolio including IHEEZO^® and TRIESENCE^®
• A broad Dry Eye Disease product line, led by VEVYE^® and bolstered by well-known adjacent ocular surface disease products such as FLAREX^® and TOBRADEX^® ST
• A Specialty Anterior Segment product line, which includes various high-need and utility products such as ILEVRO^®, NEVANAC^®, and VERKAZIA^®

Job Summary

Reporting to the Director- Provider and Patient Support the Field Reimbursement Manager (Sr. FRM) will work with healthcare provider accounts and facilities to support access for Harrow’s ocular buy-and-bill products at both Ambulatory Surgery Centers (ASCs) and Retina/Ophthalmology physician practices. The Sr. FRM does this by providing product-specific provider reimbursement education and support as it relates to coverage, coding, and payment. The Sr. FRM will also work on patient level reimbursement issues, when authorized by providers/HCPs.

Core Responsibilities

• Responsible for managing an assigned geography and providing product reimbursement assistance and approved support tools and resources to healthcare providers in physician practices and facilities.
• Provide in-person and/or virtual support to educate and train provider accounts and facilities on coverage, coding, and reimbursement of Harrow’s buy-and-bill-products, as well as Harrow Cares Patient Support Services HUB
• Assists healthcare providers and staff work through reimbursement barriers and understand the payer landscape.
• Working knowledge of buy-and-bill and medical benefit reimbursement, as well as a clear understanding of Medicare, Medicare Advantage, Commercial, and Medicaid insurance plans and benefit design and coverage policies
• Works effectively and cross-functionally with multiple key stakeholders (sales, marketing, managed markets, compliance, legal, and regulatory) in a matrixed environment to achieve business objectives and key performance indicators (KPIs)
• Subject matter expert on reimbursement processes (i.e., benefit verification, prior authorization, claim assistance, and appeals) and knowledgeable of current Retina/Ophthalmology/Ocular market dynamics
• Builds and maintains strong relationships with HCP office; physicians, C-Suite leadership, practice administrators and integral operational staff
• Conducts all work activities in compliance with all internal requirements and meets all applicable business, compliance, legal, and regulatory requirements

Qualifications & Requirements

• 8+ years of combined proven success in a healthcare-related field reimbursement, brand management and/or sales experience
• Bachelor's degree
• Buy-and-Bill experience required
• Minimum 4+ years Field Reimbursement experience required
• Healthcare credentialing and/or certification preferred
• Minimum 6+ years Retina/Eye care experience preferred
• Private Equity and/or Strategic account experience preferred
• HCPCS Level II (J-code) and Transitional Pass-Through reimbursement preferred
• Experience with benefit verifications, prior authorizations, claim assistance, and appeals required
• Payer coverage experience with Medicare (MACs), Medicare Advantage, Commercial, and Medicaid plans required

Position Type

• Remote

Travel

• 3-4 days field work required