Field Reimbursement Manager, New York City Metro (Field Based)

Job Summary

Take on a dynamic, field-facing role where you’ll guide providers through complex payer landscapes to ensure patient access to Omnipod® technology. As a trusted expert, you’ll blend strategy and execution—removing barriers, delivering education, and shaping access solutions—while growing your career with a leader in diabetes innovation.

Responsibilities

• Demonstrate Your Expertise
  Build and demonstrate deep expertise in diabetes patient access dynamics, remaining current on payer trends, coverage policies, competitive products and evolving reimbursement landscapes.
  Monitor and anticipate shifts in product coverage, payer behavior, and marketplace conditions to proactively guide account strategy and recommend forward-looking patient access solutions.
• Identify Access Barriers and Opportunities
  Continuously seek to uncover barriers in patient access and opportunities for process improvement.
  Use available data analytics resources to inform strategies and solutions.
• Lead and Support Key Initiatives
  Partner with Market Access leadership to align holistic strategy, prioritize opportunities, and ensure coordinated execution across teams.
• Own Patient Access Solutions
  Use a consultative, data insights-driven approach to proactively recommend tailored solutions to enhance patient access.
  Develop, refine, and simplify compelling patient access narratives and educational content, ensuring their customization for targeted endocrinology and primary care clinics, health systems or other care settings.
  Deliver clear, concise training to field teams and provider offices on reimbursement processes, workflows, and best practices to strengthen their access capabilities.
• Patient Access Solutions Implementation
  Partner closely with the field and market access teams to recommend and support the implementation of patient access solutions, enabling more efficient workflows including assistance with PA processes, denial management, appeals, and enrollment in appropriate affordability programs to enhance customer experience.
• Collaboration for Impact
  Collaborate with the field teams, coordinating on account targeting, customer engagement plans, and follow-up actions.
  Cultivate and strengthen relationships with the entire office (HCPs, administrative staff, etc.), positioning yourself as a trusted partner in navigating reimbursement and access challenges.
  Partner with the field teams (Territory Managers, District Sales Managers, Clinical Services Managers, Payer Account Teams, Customer Care/Advocacy, ASPN and Inside Sales) to resolve patient access challenges.
• Internal Cross-functional Team Collaboration
  Collaborate with internal cross-functional teams to continually improve processes, foster a culture of shared success, optimize patient pull through strategies and support organizational priorities through effective teamwork.

Required Skills and Competencies

• Deep understanding of reimbursement, payer processes, coding/billing
• Excellent communication skills, both oral and written
• Strong influencing and collaboration skills with the ability to build and nurture relationships
• Demonstrated skill educating in a professional setting (both colleagues and providers)
• Team-oriented with proven ability to work in a collaborative setting
• Ability to solve complex problems and take appropriate action
• Ability to execute market access strategy

Education and Experience

• Minimum Requirements: Bachelor’s degree (Preferred field of study: business, economics, or health-related subject)
  3+ years of experience in healthcare reimbursement or patient access
  Valid driver’s license
  Must reside within the geographic area of the assigned area. This position requires regular business travel within a set geographic region. Overnight travel and amount of air travel varies by territory size.
• Preferred: Advanced degree (e.g., MBA, PharmD, MPH)
  Knowledge of insulin pumps and continuous glucose monitors
  Prior FRM, reimbursement or patient access experience for diabetes