Jobs · Finance

Field Reimbursement Manager

Jobgether · United States · 1 mo ago
RemoteRemoteFinance$185k–$215k/yrFull-time
We need to output HTML fragment with sections: About the role, Responsibilities (maybe from Accountabilities), Requirements, Benefits, maybe Pay (Base salary range), Schedule (travel expectation). Also maybe Qualifications? The posting includes "Requirements" and "Benefits". Also "Pay" is base salary range. "Schedule" is travel expectation (70% travel). We must not repeat job title. No Job ID. Remove boilerplate like "This position is listed on behalf of a partner company..."? Actually that is part of description; we need to keep substantive info. The first paragraph: "This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Field Reimbursement Manager based in the United States. This role plays a critical part in helping patients access innovative therapies by addressing complex reimbursement and coverage challenges. You will serve as a trusted reimbursement and access expert across a territory covering Texas, Missouri, Illinois, Michigan, Wisconsin, and Minnesota. Working directly with healthcare providers, office staff, specialty pharmacies, and patient support teams, you will help remove barriers throughout the access journey. The position combines customer engagement, strategic problem-solving, payer expertise, and close collaboration with commercial and cross-functional teams. You will identify reimbursement obstacles, develop tailored access solutions, and help ensure patients can receive therapy as efficiently as possible. This is a highly visible, field-based position requiring significant travel and strong relationship-building skills. The role offers the opportunity to directly influence patient access while supporting the successful launch and adoption of specialty therapies." That's the "About the role" content. Then "Accountabilities" list: we can treat as Responsibilities. Then "Requirements" list. Then "Benefits": includes base salary range, compensation determined..., remote position covering Central US, opportunity to support patient access..., significant exposure..., opportunity to contribute to strategic market access initiatives and therapy launches. Also "How Jobgether Works" etc is boilerplate; remove. We need sections only when there is real specific content. So we will have:

About the role

with paragraphs.

Responsibilities

with
  • items from Accountabilities.

    Requirements

    with
    • items.

      Benefits

      with
      • items (including base salary range maybe as separate Pay section? But we can include salary in Benefits or separate Pay. The instruction: "Use

        for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." So we could have Pay and Schedule separate if content exists. Pay: base salary range $185,000–$215,000 USD. Also "Compensation determined based on relevant skills and experience, job location, internal equity, and other factors." That's pay details. So we should create a Pay section. Schedule: travel extensively, up to approximately 70% of working time. Also "Remote position covering the Central United States." That could be schedule/location. But schedule is about travel expectation. We'll create Schedule section with travel expectation and remote nature maybe. Benefits: other benefits like opportunity to support patient access, exposure, contribute to strategic initiatives, etc. We must not create sections with filler like "commensurate with experience". We have concrete info. Let's extract bullet points. Accountabilities (Responsibilities): - Act as the reimbursement and access subject-matter expert for your territory, partnering with healthcare providers, internal teams, specialty pharmacies, and patient support organizations to resolve access challenges and improve the patient experience. - Serve as the reimbursement and market access expert for the assigned territory. - Maintain a strong understanding of managed care accounts, including geographic influence, payer mix, product coverage, reimbursement criteria, and utilization management policies. - Educate healthcare providers and office staff on prior authorization requirements, coverage status, payer appeals, alternative funding options, and related processes and timelines. - Provide ongoing access education and personalized issue resolution to healthcare professionals and their staff. - Act as a liaison between sales representatives and key external customers. - Build and maintain productive relationships with healthcare professionals, office stakeholders, health systems, and other access decision-makers. - Help customers navigate the complexities of specialty pharmacy distribution and reimbursement. - Partner closely with specialty pharmacy case management teams to support accurate coverage determinations and efficient processing of patient enrollments. - Work with sales teams and patient support partners to identify accounts experiencing reimbursement challenges and patients facing delays due to insurance-related issues. - Develop and implement creative, compliant solutions to address individual patient and healthcare system access barriers. - Conduct strategic analyses to identify reimbursement issues, opportunities, and territory priorities. - Develop business plans and access strategies based on market insights and customer needs. - Attend relevant conferences and customer meetings and travel with sales and regional colleagues to engage key providers and influencers. - Travel extensively within the assigned territory, with travel expected to reach approximately 70% of working time. Note: travel expectation also appears in Requirements and Benefits; but we can keep in Responsibilities as part of duties. However schedule section will capture travel expectation; we might duplicate but okay. We should avoid duplication? The instruction: preserve ALL substantive information; do not invent or summarize away detail. Duplication is okay if it's in original. But we might want to avoid repeating same sentence in two sections; but it's okay if it's present in both places. However we could keep travel expectation only in Schedule section and not duplicate in Responsibilities. But the original includes it under Accountabilities as a bullet. If we remove it, we lose that substantive info. So we need to keep it somewhere. We could keep it in Responsibilities and also mention in Schedule; duplication is fine. Now Requirements list: - Bachelor’s degree or higher and 8+ years of experience in the pharmaceutical or biotechnology industry. - Significant experience with biotech drug distribution across specialty distributors, specialty pharmacies, and hospital systems. - Demonstrated understanding of coverage and reimbursement requirements for oral and injectable therapies. - Strong knowledge of specialty pharmacy operations and third-party patient support services. - Deep understanding of payer and PBM utilization management strategies for new therapies, including new-to-market blocks and exclusion lists. - Extensive knowledge of pharmaceutical manufacturer compliance, patient confidentiality, reimbursement, and patient access requirements. - Understanding of laws and regulations governing the protection of patient-identifying information and access-related programs. - Strong knowledge of pharmaceutical contracting and pricing regulations. - Experience managing long-term enterprise-level relationships and supporting complex contract negotiations and contract pull-through. - Strong understanding of OIG and FDA regulations governing pharmaceutical marketing, as well as the PhRMA Code. - Strong cross-functional collaboration skills, with experience partnering across commercial, medical, clinical, and external stakeholder groups. - Demonstrated self-motivation, urgency, sound judgment, and the ability to manage competing priorities in changing environments. - Excellent written, verbal, and presentation skills, with the ability to communicate persuasively and credibly with stakeholders at all levels. - Ability to work independently while contributing effectively as part of a collaborative team. - Experience launching oral specialty drugs is highly valued. - Rare disease experience is a plus. - Experience across additional commercial functions such as marketing, market access, sales, insights, or analytics is advantageous. - Willingness and ability to travel extensively, including up to approximately 70% of the time. Now Benefits list (from Benefits section): - Base salary range of $185,000–$215,000 USD. - Compensation determined based on relevant skills and experience, job location, internal equity, and other factors. - Remote position covering the Central United States. - Opportunity to support patient access to specialty and innovative therapies. - Significant exposure to healthcare providers, specialty pharmacies, patient support organizations, and commercial stakeholders. - Opportunity to contribute to strategic market access initiatives and therapy launches. We might separate Pay and Schedule. Pay: Base salary range and compensation determination. Schedule: Remote position covering Central US (maybe location) and travel expectation (70%). But schedule is about travel expectation; remote position is location. Could be separate but we only have Schedule heading. We'll put travel expectation and remote location under Schedule. Benefits: other items (opportunity to support patient access, exposure, contribute to strategic initiatives). Now About the role: we need to keep the initial paragraph(s) as prose. Let's craft HTML. We'll output:

        About the role

        This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Field Reimbursement Manager based in the United States. This role plays a critical part in helping patients access innovative therapies by addressing complex reimbursement and coverage challenges. You will serve as a trusted reimbursement and access expert across a territory covering Texas, Missouri, Illinois, Michigan, Wisconsin, and Minnesota. Working directly with healthcare providers, office staff, specialty pharmacies, and patient support teams, you will help remove barriers throughout the access journey. The position combines customer engagement, strategic problem-solving, payer expertise, and close collaboration with commercial and cross-functional teams. You will identify reimbursement obstacles, develop tailored access solutions, and help ensure patients can receive therapy as efficiently as possible. This is a highly visible, field-based position requiring significant travel and strong relationship-building skills. The role offers the opportunity to directly influence patient access while supporting the successful launch and adoption of specialty therapies.

        Responsibilities

        • Act as the reimbursement and access subject-matter expert for your territory, partnering with healthcare providers, internal teams, specialty pharmacies, and patient support organizations to resolve access challenges and improve the patient experience.
        • Serve as the reimbursement and market access expert for the assigned territory.
        • Maintain a strong understanding of managed care accounts, including geographic influence, payer mix, product coverage, reimbursement criteria, and utilization management policies.
        • Educate healthcare providers and office staff on prior authorization requirements, coverage status, payer appeals, alternative funding options, and related processes and timelines.
        • Provide ongoing access education and personalized issue resolution to healthcare professionals and their staff.
        • Act as a liaison between sales representatives and key external customers.
        • Build and maintain productive relationships with healthcare professionals, office stakeholders, health systems, and other access decision-makers.
        • Help customers navigate the complexities of specialty pharmacy distribution and reimbursement.
        • Partner closely with specialty pharmacy case management teams to support accurate coverage determinations and efficient processing of patient enrollments.
        • Work with sales teams and patient support partners to identify accounts experiencing reimbursement challenges and patients facing delays due to insurance-related issues.
        • Develop and implement creative, compliant solutions to address individual patient and healthcare system access barriers.
        • Conduct strategic analyses to identify reimbursement issues, opportunities, and territory priorities.
        • Develop business plans and access strategies based on market insights and customer needs.
        • Attend relevant conferences and customer meetings and travel with sales and regional colleagues to engage key providers and influencers.
        • Travel extensively within the assigned territory, with travel expected to reach approximately 70% of working time.

        Requirements

        • Bachelor’s degree or higher and 8+ years of experience in the pharmaceutical or biotechnology industry.
        • Significant experience with biotech drug distribution across specialty distributors, specialty pharmacies, and hospital systems.
        • Demonstrated understanding of coverage and reimbursement requirements for oral and injectable therapies.
        • Strong knowledge of specialty pharmacy operations and third-party patient support services.
        • Deep understanding of payer and PBM utilization management strategies for new therapies, including new-to-market blocks and exclusion lists.
        • Extensive knowledge of pharmaceutical manufacturer compliance, patient confidentiality, reimbursement, and patient access requirements.
        • Understanding of laws and regulations governing the protection of patient-identifying information and access-related programs.
        • Strong knowledge of pharmaceutical contracting and pricing regulations.
        • Experience managing long-term enterprise-level relationships and supporting complex contract negotiations and contract pull-through.
        • Strong understanding of OIG and FDA

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