DescriptionThe PositionThe
Redemplo Reimbursement Navigator (RRN) is responsible for managing assigned healthcare provider accounts and patient cases, within a defined geographic region, to advance patient access and reimbursement for Redemplo®. The RRN serves as a strategic reimbursement resource to healthcare providers, office staff, and internal stakeholders by delivering approved reimbursement education, facilitating patient access, resolving complex coverage and reimbursement challenges, and supporting patient case pull-through. The RRN collaborates cross-functionally with Sales, Market Access, Specialty Pharmacy, HUB partners, and other approved stakeholders to execute territory strategies while ensuring compliance with all company policies, privacy requirements, and applicable regulations.
Responsibilities- Advance patient access and reimbursement through approved education, reimbursement support, and pull-through activities.
- Educate healthcare providers, office staff, and approved matrix partners on reimbursement processes, coverage pathways, financial assistance programs, and approved patient support services.
- Analyze complex reimbursement and access issues and develop appropriate strategies to facilitate patient access within approved policies and compliance guidelines.
- Coordinate with the HUB, specialty pharmacy, and approved partners to support patient enrollment, benefits investigations, prior authorizations, appeals, denied claims, and reimbursement-related case management.
- Serve as the local reimbursement and access expert for Sales, Market Access, and regional leadership.
- Develop and execute strategic territory plans in partnership with internal and external stakeholders to optimize patient access and customer support.
- Build and maintain collaborative relationships with healthcare providers, office staff, specialty pharmacies, patient support partners, and internal cross-functional teams.
- Proactively identify reimbursement barriers and implement compliant solutions that improve patient access and customer experience.
- Document customer interactions and maintain accurate records within approved company systems.
- Operate in full compliance with all company policies, legal, regulatory, privacy, and compliance requirements.
- Manage business travel and expenses within established company guidelines.
Requirements- Bachelor's degree required; healthcare, life sciences, nursing, or a related field preferred.
- Minimum of seven (7) years of pharmaceutical and/or biotechnology industry experience.
- Minimum of three (3) years of experience in one or more of the following:
- Field reimbursement
- Patient access and reimbursement
- Specialty medication access solutions
- Specialty pharmacy
- Advanced specialty pharmaceutical sales
- Patient support services
- Demonstrated knowledge of pharmacy benefit reimbursement.
- Demonstrated ability to analyze and resolve complex reimbursement and patient access challenges.
- Strong understanding of specialty pharmacy operations and patient support services.
- Must reside within the assigned territory or territory boundaries.
- Valid driver's license with the ability to travel extensively throughout the assigned territory.
Preferred- Experience supporting rare disease, cardiometabolic, or specialty pharmaceutical products.
- Experience supporting a commercial pharmaceutical product launch.
- Strong knowledge of payer coverage, reimbursement, specialty pharmacy, and patient support programs.
- Excellent presentation, communication, and relationship-building skills.
- Demonstrated strategic account planning, case management, and territory management capabilities.
- Ability to effectively collaborate across cross-functional teams.
- Strong analytical, problem-solving, and organizational skills.
- High emotional intelligence with the ability to build trusted relationships with customers and internal partners.
- Demonstrated accountability, ownership, adaptability, and customer focus.
- Ability to thrive in a dynamic, fast-paced environment while maintaining a high level of professionalism and compliance.
California pay range$160,000-$170,000 USD
Arrowhead provides competitive salaries and an excellent benefit package.
Candidates must have current, valid authorization to work in the country where this role is located.
California Applicant Privacy Policy
