Overview
A global biopharmaceutical company on a mission to Solve On, Incyte follows science to find solutions for patients with unmet medical needs. Through the discovery, development, and commercialization of proprietary therapeutics, Incyte has established a portfolio of first-in-class medicines for patients and a strong pipeline of products in Hematology, Oncology and Inflammation and Autoimmunity
Headquartered in Wilmington, Delaware, Incyte has operations in North America, Europe, and Asia.
Job Overview:
The Field Reimbursement Trainer is responsible for designing, developing, and delivering comprehensive training programs for Field Access Manager (FAMs) teams. This role is critical in ensuring that FAMs are equipped with the knowledge and skills necessary to support healthcare providers, navigate payer landscapes, and address reimbursement challenges.
Additionally, the trainer must demonstrate subject matter expertise on all aspects of navigating and engaging customers in the reimbursement eco-system. This knowledge will be leveraged to accelerate the capabilities for the FAM team through classroom and field-based engagements. The specialist will lead training interventions both at a national and regional level and use their knowledge to enhance the capabilities of the broader organization. They will also be required to retain the skill set of an FAMs in order to provide coverage during time of surge field needs. The specialist will be required to have exceptional reimbursement knowledge, communication, cross-functional planning, and facilitation skills.
Key Responsibilities:
Become a Subject Matter Expert
· Display a deep understanding of the reimbursement environment, distribution models and relevant commercial payers and PBMS, Medicare, Medicaid and other governmental programs; and know the systems, processes, policies and trends associated with each.
· Exhibit deep technical knowledge, including patient insurance benefit design, coverage, coding and payment methodologies, prior authorizations process, levels of appeals process, new drug exception process, patient affordability, and medical and pharmacy benefit designs.
· Help field reimbursement team better understand the current reimbursement environment and anticipated changes.
· Exhibit knowledge of both traditional and wholesale/retail distribution and specialty environments, including specialty distribution and the process for navigating scripts through a network of specialty pharmacies.
· Engage Key Customers to Meet Critical Business Needs
· Demonstrate a deep understanding of customers in the market, their structures and processes, key customer stakeholder roles and responsibilities, electronic health records systems and experience with manufacturer support programs.
Training Program Development:
· Design and develop training curricula that cover healthcare reimbursement processes, payer policies, patient access programs and case management.
· Create training materials such as presentations, job aids, workshops, e-learning modules, and case studies that align with company policies and industry best practices.
· Ensure that training programs are adaptable to address regional payer variations and product-specific requirements.
· Coach, evaluate, and certify field reimbursement specialist's skill level and field readiness.
Field Reimbursement Training Delivery:
· Lead training sessions for new hires and existing Field Access Managers, covering topics such as payer access, prior authorizations, appeals processes, and patient support programs.
· Deliver both in-person and virtual training sessions, ensuring that training content is engaging, interactive, and easy to understand.
· Provide hands-on training and practical exercises to enhance FRMs' ability to assist providers with reimbursement issues and patient access challenges.
Ongoing Education & Updates:
· Keep the field reimbursement team informed of industry trends, payer policy changes, and new access programs.
· Develop and implement refresher courses or update sessions to ensure that FRMs remain knowledgeable on the latest reimbursement processes and payer policies.
· Collaborate with internal stakeholders (legal, compliance, and market access teams) to ensure that all training content reflects up-to-date policies and regulations.
Field Support and Observation:
· Conduct field observations and assessments of FAMs to evaluate the effectiveness of training and identify any skill gaps.
· Provide coaching and feedback to individual FAMs to help them improve their understanding of reimbursement processes and payer interactions.
· Act as a resource to FAMs, answering questions and troubleshooting complex reimbursement issues as needed.
Cross-Department Collaboration:
· Collaborate as needed with overlapping internal and field-based stakeholders to identify, prioritize, and address access and affordability challenges while following internal compliance guidelines; and synchronize and engage with overlapping stakeholders based on communication preferences.
· Collaborate with sales, market access, legal, and compliance teams to ensure alignment between training programs and broader commercial strategies.
· Work closely with product teams to integrate product-specific information into training materials, especially for new product launches.
· Partner with field managers to assess training needs and customize programs based on team performance and regional challenges.
Compliance and Reporting:
· Ensure that all training content complies with healthcare laws and regulations (e.g., HIPAA, CMS guidelines) and internal policies.
· Track and report on training progress, FRM performance, and knowledge retention through assessments and follow-up evaluations.
· Document all training activities and ensure that field reimbursement teams are fully certified and compliant with company and regulatory standards.
Qualifications:
· Bachelor's degree or equivalent experiance in healthcare, business, education, or a related field; advanced degrees or certifications (e.g., Certified Professional Coder (CPC), Certified Medical Reimbursement Specialist (CMRS)) are a plus.
· Extensive years of experience in healthcare reimbursement, field training, or market access roles, with a solid understanding of payer policies, coding, billing, and patient access programs.
· Previous experience in training or education, preferably within the pharmaceutical, biotech, or medical device industries.
· In-depth knowledge of healthcare reimbursement processes, including insurance verification, prior authorization, appeals, and payer policy nuances.
· Excellent presentation and facilitation skills, with the ability to explain complex reimbursement concepts in a clear and engaging way.
· Strong problem-solving skills and the ability to provide coaching and feedback to field teams.
· Willingness to travel (up to 50%) to deliver field training and conduct on-site observations.
Key Competencies:
· Training Expertise: Proven ability to design and deliver comprehensive training programs that drive knowledge retention and skill development.
· Communication: Exceptional verbal and written communication skills, with the ability to engage learners and tailor training to different learning styles.
· Technical Knowledge: Deep understanding of healthcare reimbursement processes, payer policies, and access programs.
· Coaching: Ability to provide constructive feedback and personalized coaching to enhance field team performance.
· Adaptability: Ability to adjust training programs as needed to reflect changes in payer policies, industry trends, and company goals.
Disclaimer: The above statements are intended to describe the general nature and level of work performed by employees assigned to this job. They are not intended to be an exhaustive list of all duties, responsibilities, and qualifications. Management reserves the right to change or modify such duties as required.
Incyte Corporation is committed to creating a diverse environment and is proud to be an equal opportunity employer.
We Respect Your Privacy
Learn more at: http://www.incyte.com/privacy-policy
The Incyte hiring organization processes your personal data to manage your job application in order to enter into an employment relationship with you if you are the successful candidate.During the process, you may be asked to respond to questions that will screen out your application if you do not meet certain objective criteria required by the job. You can learn more about this process here.
You may have the right to access, delete, restrict, edit, move, or object to the use of your personal data. You may also have a right to report concerns to the authority responsible for data privacy in the country where the position is based or where you live or work.
You can learn more about Incyte’s data protection practices here. By accessing this link you can learn about the types of personal data we collect, how we use it, whether collection and processing is optional, sources of the personal data we process, how it is shared, where it is stored or transferred to, how long we keep it, and contact information for Incyte, Incyte’s data protection officer, and your supervisory authority (if applicable).
Please contact privacy@incyte.com if you have any questions or concerns or would like to exercise your rights.