About the Position:

The Manager, Field Navigators will lead a specialized team of registered nurses who focus on a cardiovascular disease and treatment, providing comprehensive support and guidance around reimbursement practices, diagnostic testing, and REMS management, to healthcare professionals (HCP's). This role requires a strong leader who can foster a culture of clinical excellence, patient-centered support, and operational efficiency.

The Manager will ensure the Field Navigator team delivers ongoing personalized, high-touch support to HCPs while adhering to compliance standards and achieving program objectives as well as acting as subject-matter-expert around patient assistance, REMS management, and reimbursement processes. They will work closely with cross-functional teams to ensure effective collaboration, address challenges, and implement strategic initiatives aimed at enhancing patient outcomes and improving the overall treatment experience. This leader will onboard ahead of the field team to assist in building out the strategic support framework, program design, training plans, and hiring of new field Navigator team.

Essential Functions:

Team Leadership & Development:

• Partner with internal and external stakeholders to build out program framework, training plans, documentation, processes, profile design, and hiring of educator team

• Foster a collaborative culture that promotes empathy, accountability, and service excellence

• Provide team leadership and management including assessing and hiring talent, training, coaching, evaluating staff, and ensuring each navigator and the team meets/exceeds all published goals/metrics

• Collaborate and work cohesively within a POD structure (with Momentum Virtual Navigator team) to identify gaps, barriers, and opportunities to improve process and overall patient/HCP experience

• Demonstrates strength in effective leadership; provides clear direction by modeling the way and inspiring people to follow

• Identify and address team developmental needs and helps employee address them to achieve optimal performance aligned with business and client objectives

HCP Support:

• Serve as the escalation point for complex HCP office issues related to reimbursement, insurance coverage, REMS, and diagnostic testing

• Oversee the team's relationship-building with HCP offices, ensuring high-touch support and guidance on reimbursement and treatment processes

• Ensure the team is well-versed in assisting HCPs with the completion and submission of all necessary documentation, including prior authorizations and REMS management

• Provide strategic oversight of the team's education to HCP offices on reimbursement, patient testing, and the appropriate use of therapies

Program Strategy:

• Oversee the operational aspects of the Field Navigator program, ensuring execution of ongoing support and relationship development, disease management, reimbursement processes, and REMS protocols

• Proactively monitor program performance, identifying trends, risks, and areas for improvement

• Collaborate with internal and external cross-functional partners, including Momentum virtual clinical, recruitment and training teams, and client sales, market access, and external third-party vendors, to drive program success

• Maintain high standards of compliance with regulatory requirements, including adverse event reporting and adherence to REMS and safety protocols

• Address escalated cases, offering additional resources or guidance for patients facing significant challenges

Data, Reporting, & Continuous Improvement:

• Regularly report on team performance highlighting successes, challenges, and areas for growth

• Analyze performance metrics, trends, and KPIs to optimize processes and identify areas for improvement, drive business outcomes, and enhance efficiencies

• Implement quality improvement initiatives that align with program goals and enhance patient outcomes

• Stay current on industry trends, updates in reimbursement, and healthcare policy changes to guide the team effectively

Required Education and/or Experience:

• Current, unrestricted licensed RN required

• Master's degree in Nursing preferred

• Minimum 10 years of nursing experience with at least 2 years in a leadership role overseeing patient access/support teams in Pharma/Biotech

• Deep knowledge of benefit verification and prior authorization process for specialty products, private payer, Medicare and Medicaid structures, and reimbursement processes

• PACS and/or CSPR certifications preferred, and REMS experience required

• Strong leadership skills with the ability to motivate and inspire a team to deliver exceptional service

• Proficient in CRM systems like Salesforce and MS Office Suite

• Problem-solving mindset with a passion for improving patient outcomes and program efficiency

Key Competencies:

• Leadership: Ability to guide and develop a high-performing team

• Emotional Intelligence: Demonstrated compassion and interpersonal skills to effectively support HCP's

• Strategic Thinking: Ability to identify and implement initiatives that drive program success

• Operational Excellence & Data Analysis: Strong organizational skills and a detail-oriented approach to managing complex patient programs; ability to utilize and analyze data identify areas for improvement, drive business outcomes, and enhance efficiencies.

• Adaptability: Capable of handling change and guiding the team through evolving healthcare landscapes