Field Reimbursement Manager

Key Responsibilities

• Act as a compliant subject matter expert (SME) in reimbursement, access, and specialty distribution for assigned geography.
• Provide education to HCP offices on coverage status, prior authorization processes, appeals, and alternate funding options for uninsured/underinsured patients.
• Build and maintain productive relationships with HCPs, office staff, and health system stakeholders.
• Analyze regional and local payer coverage trends, reimbursement criteria, and payer mix.
• Provide guidance on specialty pharmacy services and help customers navigate complex distribution channels.
• Partner with the Patient Support team to ensure accurate benefit investigations and streamlined patient onboarding.
• Collaborate with internal partners to build local access strategies aligned with business objectives.
• Develop and execute territory-level business plans using strategic customer insights.
• Participate in field-based problem-solving, including reimbursement issue resolution and case escalation when needed.
• Identify process improvements and innovations to enhance patient access and provider satisfaction.
• Maintain compliance with legal, regulatory, and company policies, especially those governing patient privacy and promotional conduct.

Requirements

• Bachelor’s degree in an allied health field preferred or equivalent work experience.
• 8+ years of experience in the pharmaceutical, biotech, or related healthcare industry.
• Previous Reimbursement Experience Required: Candidates should have substantial experience with prior authorizations and navigating the US payer landscape.
• 3-6 years of experience supporting Specialty Pharmaceuticals/Biologics.
• Deep understanding of reimbursement, access, and specialty pharmacy operations.
• Experience supporting product launches or guiding patients through insurance approval processes.
• Strong understanding of Specialty Pharmacy distribution models and patient services programs.
• Knowledge of HIPAA and other federal/state laws governing patient confidentiality and healthcare communications.
• Bilingual skills are highly desired (English/Spanish).
• Proven track record supporting complex therapies in rare or specialty conditions.
• Exceptional communication and interpersonal skills with the ability to build trust with providers, and internal partners.
• Comfort navigating ambiguity, managing multiple cases simultaneously, and solving problems in real time.
• Digital fluency with CRM platforms and comfort educating patients on technology-enabled support tools, including AI-based platforms.

Benefits

• 401(k) plan with company match
• Comprehensive medical, dental, and vision plans
• Company-paid Life and AD&D insurance
• Company-paid short and long-term disability coverage
• Voluntary Pet Insurance and Legal Insurance
• Employee Assistance Program (EAP)
• Employee Discounts and Professional Development programs
• Health Savings Account (HSA) and Flexible Spending Accounts (FSA)
• Accident, Critical Illness, and Hospital Indemnity Insurance
• Paid parental leave and mental health resources
• Performance-based incentive compensation plans

Pay

The annual base salary for this position is $180,000 - $190,000. Actual salary will vary based on various factors such as the candidate’s qualifications, skills, competencies, and proficiency for the role. In addition, some positions may include a company car or car allowance and eligibility to earn commissions/bonus based on company and/or individual performance.

Schedule

N/A