We are located in Jeffersonville, IN. While coming into the office can be helpful for relationship building, this is a fully remote position.
Field Reimbursement Manager
Location
North Carolina
Posted
19 days ago
Salary
0
Seniority
Senior
Job Description
Field Reimbursement Manager
Mercalis
• Solve complex patient access issues by working across the Hub, provider offices and communicating with client field team • Partner with client’s Sales Team, Payer Teams, Marketing, HCPs, and their Specialty Pharmacies • Educate HCP and Office Staff on Patient Support Programs • Guide healthcare providers through the prior authorization and appeals process • The FRM will manage daily activities that support appropriate patient access to client’s products • Coordinate with client’s patient support services programs representatives on patient cases and claim issues • Conduct policy surveillance across regional payers to ensure appropriate coding, coverage, and payment of client’s products • Lead sales training related to product reimbursement
Job Requirements
- Associate's degree or higher in a related field or equivalent market experience
- 3+ in Pharma/Healthcare industry; working with specialty products, Hubs, Payers, HCP or related area
- Must have specific practice management, billing and/or coding experience for drugs, biologicals, or devices
- Must have general payer policy knowledge including public and private payers
- Demonstrated ability to conduct virtual and field-based reimbursement support and education
- Experience with Prior Authorizations, reimbursement billing, coding, and appeals process
- Knowledge of commercial payer, Medicare and Medicaid structure, systems, and reimbursement process
- Strong stakeholder engagement and communication skills
Benefits
- Patient access to life altering medications
- Opportunities for creativity, growth, and success
- Diversity-driven organization with an inclusive approach
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Senior Manager, Model Governance and Data Standards
AirwallexAirwallex is a financial services company that has developed a “global financial platform for modern businesses.” As an employer, the company strives to cul
About Airwallex Airwallex is the only unified payments and financial platform for global businesses. Powered by our unique combination of proprietary infrastructure and software, we empower over 200,000 businesses worldwide - including Brex, Rippling, Navan, Qantas, SHEIN and many more - with fully integrated solutions to manage everything from business accounts, payments, spend management and treasury, to embedded finance at a global scale. Proudly founded in Melbourne, we have a team of over 2,000 of the brightest and most innovative people in tech across 26 offices around the globe. Valued at US$8 billion and backed by world-leading investors including T. Rowe Price, Visa, Mastercard, Robinhood Ventures, Sequoia, Salesforce Ventures, DST Global, and Lone Pine Capital, Airwallex is leading the charge in building the global payments and financial platform of the future. If you're ready to do the most ambitious work of your career, join us. Attributes We Value We hire successful builders with founder-like energy who want real impact, accelerated learning, and true ownership. You bring strong role-related expertise and sharp thinking, and you're motivated by our mission and operating principles. You move fast with good judgment, dig deep with curiosity, and make decisions from first principles, balancing speed and rigor. You're humble and collaborative; turn zero-to-one ideas into real products, and you "get stuff done" end-to-end. You use AI to work smarter and solve problems faster. Here, you'll tackle complex, high-visibility problems with exceptional teammates and grow your career as we build the future of global banking. If that sounds like you, let's build what's next. About the team The Legal, Risk & Compliance (LRC) team at Airwallex is a collaborative group of legal minds and risk management experts. We're passionate about safeguarding Airwallex's operations, fostering a culture of compliance and ethical conduct, and ensuring we navigate the global financial landscape with integrity. We provide expert guidance and support to all areas of the business, proactively identifying, mitigating, and managing legal and financial risks. What you'll do As Senior Manager, Model Governance and Data Standards, you will play a critical role in establishing and maintaining a robust governance framework and independent testing and validation mechanism to ensure model and data standards are applied across Airwallex. You will ensure the framework is enforced with regular monitoring to confirm all models produce expected outcomes in line with business needs. You will also ensure that our models and data are used responsibly, ethically, and in compliance with regulatory requirements. Responsibilities: - Create and maintain a comprehensive risk model register and model inventory - Develop, implement, and enforce model governance policies and procedures, including model definition, testing, rollout, and ongoing monitoring - Establish model risk appetite and tolerance levels, and ensure performance validation of models meets policy standards; remediate any findings - Monitor model performance, identify potential risks, and ensure compliance with relevant regulatory requirements and industry best practices - Create and enforce data quality standards, working closely with the data privacy officer and infosec teams to ensure privacy and information security standards are met - Develop and maintain data governance frameworks, including data quality metrics, metadata management, and master data management - Participate in independent testing and model validation activities, as necessary - Communicate model risk and data governance findings to senior management, and provide training and guidance on model governance and data standards Who you are We're looking for people who meet the minimum requirements for this role. The preferred qualifications are great to have, but are not mandatory. Minimum qualifications: - Bachelor's or Master's degree in a quantitative field (e.g., statistics, mathematics, finance, economics) - 8+ years of experience in model governance, model risk management, or data governance, preferably in the financial services or fintech industry - Proven track record of developing and implementing model governance frameworks and data standards - Strong understanding of model development, validation, and monitoring techniques - Familiarity with regulatory requirements related to model risk management and data protection - Strong understanding of data management principles and best practices - Excellent analytical, problem-solving, communication, and interpersonal skills - Ability to work independently and as part of a team, and to influence and collaborate with stakeholders across different departments Preferred qualifications: - Experience in or with fintech/payments is a significant plus - Familiarity with enterprise governance tools (e.g., Collibra, Informatica, Alation), data catalog, data lineage tracking, and master data management systems - Experience with visualization tools (e.g., Tableau, Power BI, Qlik) and ability to work with MS-Excel and SQL - Relevant certifications (e.g., FRM, PRM, Certified Data Management Professional) are a plus - Strong stakeholder engagement skills across business, risk, legal, compliance, and technical teams Airwallex is proud to be an equal opportunity employer. We value diversity and anyone seeking employment at Airwallex is considered based on merit, qualifications, competence and talent. Applicant Safety Policy: Fraud and Third-Party Recruiters To protect you from recruitment scams, please be aware that Airwallex will not ask for bank details, sensitive ID numbers (i.e. passport), or any form of payment during the application or interview process. All official communication will come from an @airwallex.com email address. Please apply only through careers.airwallex.com or our official LinkedIn page. Airwallex does not accept unsolicited resumes from search firms/recruiters. Airwallex will not pay any fees to search firms/recruiters if a candidate is submitted by a search firm/recruiter unless an agreement has been entered into with respect to specific open position(s). Search firms/recruiters submitting resumes to Airwallex on an unsolicited basis shall be deemed to accept this condition, regardless of any other provision to the contrary. Equal opportunity Airwallex is proud to be an equal opportunity employer. We value diversity and anyone seeking employment at Airwallex is considered based on merit, qualifications, competence and talent. We don't regard color, religion, race, national origin, sexual orientation, ancestry, citizenship, sex, marital or family status, disability, gender, or any other legally protected status when making our hiring decisions. If you have a disability or special need that requires accommodation, please let us know.
Role Description 머천트 서포트 센터 이슈 대응 및 모니터링 - VOC 데이터 기반으로 고객의 문제를 정의하여 특정하고 개선 계획을 수립 - 유관 부서와의 협업을 통한 이슈 해결 및 정책/프로세스 정립 Qualifications - VOC 데이터 기반으로 문제를 정의 및 분석하고 해결까지 이어갈 수 있는 역량과 경험을 보유한 분 - 다양한 이해관계자와 원활하게 협업 및 커뮤니케이션이 가능한 분 Requirements - SQL, Power BI 등의 Tool 활용이 가능하신 분 - 커머스 및 플랫폼 회사에서 고객의 문제를 정의하고 해결한 구체적인 경험 보유하신 분 Application Process - 서류전형 - 전화면접 - 대면(화상)면접 – 최종 합격 - 전형절차는 직무별로 다르게 운영될 수 있으며, 일정 및 상황에 따라 변동될 수 있습니다. - 전형 일정 및 결과는 지원서에 등록하신 이메일로 개별 안내 드립니다. Notes - 본 공고는 모집 완료 시 조기 마감될 수 있습니다. - 지원서 내용 중 허위사실이 있는 경우에는 합격이 취소될 수 있습니다. - 취업 보호 대상자(보훈대상자, 장애인 등)는 관련 법률에 따라 채용우대를 받을 수 있습니다. - 직급과 담당 업무 범위는 후보자의 전반적인 경력과 경험 등 제반사정을 고려하여 변경될 수 있습니다. - 채용 및 업무 수행과 관련하여 요구되는 법령상 자격이 갖추어지지 않은 경우 채용이 제한될 수 있습니다. - 고용형태는 정규직으로 수습기간 12주를 포함합니다.
• Orchestrate the seasonal and product launch Go-to-Market calendars • Act as the primary marketing liaison for retail accounts • Collaborate with the Retail Fixture Team for POS displays and signage • Analyze sell-through data and ROI on trade spend • Ensure consistent product messaging and supply chain readiness • Partner with Retail Digital Media team for omnichannel strategies • Manage the trade marketing budget with high accountability • Own the digital retail experience and optimize online content • Manage trade shows and conferences from logistics to ROI analysis • Design training programs for retailer teams • Launch and manage Staff Advocacy initiatives • Serve as the primary intelligence loop between retail and marketing • Other duties as needed



