Kimberly Ridley Email & Phone Number

Raleigh, North Carolina, United States

• Oversees the day-to-day operations of a market access and reimbursement team that includes Nurse Educators, Field Reimbursement Managers, Specialty Pharmacy Liaisons, and Care Coordinators.
• Partner with client field sales team, HCP, Specialty Pharmacies to create and drive strategic reimbursement support approaches, resulting in increased access to therapy for individual patients.
• Educate on and represent patient support programs to internal and external stakeholders including sites of care and client sales and field support teams.
• Work cross functionally with all market access areas internally and externally to meet deadlines and deliverables.
• Serve as a field liaison to the sales team and healthcare providers regarding insurance coverage, medical billing, reimbursement process, and general access for complex pharmaceuticals.
• Lead and facilitate conference calls with specialty pharmacy contacts to monitor patient progress, reconcile data discrepancies, research missing data, and provide updates as requested on patient journey.

Fort Mill, South Carolina, United States

• Currently managing 15 direct reports for a Pfizer Oncology Patient Assistance Program.
• Ensure program is operating according to contractual obligation, SOPs and within SLAs
• Support the Director and Senior Manager on initiatives, analytics, and reporting for internal and external meetings
• Providing day to day guidance to 15 direct reports, monitoring compliance to program policies, monitoring productivity, and ensuring adherence to quality expectations
• Facilitate internal meetings communicating the client's goals and interests to the team to build and maintain a cohesive relationship between the client expectations and program
• Conduct formal and informal discussions with direct reports to include yearly performance reviews and hold regular one on one discussions to review productivity and future career goals

Fort Mill, South Carolina, United States

• Perform Quality Audits on all program associates
• Monitor and evaluate randomly selected calls to uphold customer service and program expectations
• Ensuring adherence to company, program and client expectations and policies
• Understands and complies with core standard operating procedures
• Identifying and ensuring all Adverse Events are being properly identified, documented, and reported
• Monitor and track associate performance metrics

Fort Mill, South Carolina

• Served as an advocate to patients regarding eligibility requirements, program enrollment, reimbursement process, affordability support, and general access for prescribed therapy.
• Responsible for insurance benefit investigations, assisting in the PA/Appeals process and triage cases according to program standard operating procedures.
• Served as direct point of contact to health care providers for ongoing support and relationship development by acquiring and delivering detailed information regarding a program and/or a patient.
• Provided information on relevant reimbursement topics related to the clients product.
• Completed site visits with the offices to discuss patients on the free-drug program and assist with reimbursement issues.
• Ability to understand and explain benefits offered by all payer types including private/commercial and government (i.e., Medicare, Medicaid, VA and DOD).