US Field Reimbursement Manager, Rare Neurology, Hematology, & Nephrology (California)

About the role

The Field Reimbursement Manager (Rare Neurology, Hematology, & Nephrology) is a field-based, non-promotional role responsible for helping minimize barriers to patient access for our rare disease portfolio. You will act as the local subject matter expert on reimbursement, billing, coding, and patient support programs for assigned indications and therapies. By educating healthcare provider (HCP) offices, billing staff, and financial coordinators, you will help navigate complex coverage landscapes to ensure eligible patients receive timely access to therapy. This role reports directly to the Regional Field Reimbursement Director.

Responsibilities

• Partner with Alexion cross-functional partners on overall account and territory planning and strategy to maximize internal/external customer knowledge on payer policy and processes, as well as routine documentation and presentation of plans.
• Serve as a subject matter expert on reimbursement and regional-specific access landscape, including medical/pharmacy benefit design, product acquisition, payer policies and coverage criteria, prior authorization requirements, denials, appeals, peer-to-peer, and other education required to navigate access for coverage of assigned Alexion indications and therapies while operating in full alignment with company policy, legal requirements, and compliance standards.
• Develop and execute strategic account and territory plans that increase customer knowledge of reimbursement and access processes, using available resources, internal data, and field insights to prioritize activity and guide call objectives.
• Collaborate with Alexion OneSource Patient Services on individual case management needs related to HCP education on reimbursement issues.
• Identify, document, and communicate field insights related to payer policy shifts, access barriers, denial trends, operational challenges, and customer education needs to help inform internal planning and decision-making.
• Collaborate with cross-functional partners to share insights and coordinate/plan activities; attend internal meetings (with market access, patient services, medical, sales, compliance, legal, and other relevant partners, as appropriate) and company meetings as requested.
• Maintain accurate documentation and operational reporting related to customer interactions, account plans, HCP office education, and case-related activity in CRM and other approved systems, while managing work in alignment with annual priorities, key performance indicators, territory objectives, project priorities, and approved budget parameters.
• Comply with all laws, regulations, and policies that govern the conduct of Alexion activities; work with the highest degree of professionalism and in accordance with the company’s code of Ethics and Business Conduct.
• Conduct duties in a field environment, including travel by public transportation, automobile, train, or plane; work comfortably in a clinical setting; use a computer; engage in communications via phone, video, and electronic messaging; problem solve; engage in complex and non-linear thought, analysis, and dialogue; collaborate with others; maintain general availability during standard business hours; and perform operational reporting while traveling.

Requirements

• Bachelor’s degree.
• 5-7 years of experience in the healthcare and/or pharmaceutical/biotech industry.
• 3+ years of experience working with buy and bill and/or specialty pharmacy networks.
• 3+ years of field reimbursement experience.
• Understanding of access processes from medical and pharmacy benefit design, Rx to infusion/injection.
• Experience with products that require prior authorization and a clear understanding of related billing, coding, and in-office support.
• Demonstrated adaptability to changing direction as conditions shift, a learning mindset, taking ownership, and driving actions.
• Excellent verbal, written, interpersonal communication, and presentation skills.
• Ability to effectively communicate with people at all levels, inside and outside of the company.
• Ability to educate physicians and other healthcare professionals with confidence and expertise in an office procedural environment.
• Demonstrated strong cross-functional collaboration skills, business planning, rapport building, and active listening skills.
• Problem solver with a sense of urgency.
• Experience working through complex reimbursement issues.
• Experience working with billing and medical claim personnel in a healthcare setting.
• Experience working with integrated health systems.
• Demonstrated technical aptitude and working proficiency in using iPad and laptop, as well as Microsoft Word, Excel, PowerPoint, and Outlook.
• Willingness to travel with equipment to coordinate daily with key partners on education and case work.
• Ability to travel to work-related meetings and functions, including overnight travel for up to 4 nights per week (60-75% travel).
• Ability to drive to assigned targets within the territory with a company-provided fleet electric vehicle.
• Valid driver’s license and clean driving record.
• Ability to travel regionally and cover large multi-state territories.
• Must reside in the assigned territory (California); relocation assistance is not provided.

Preferred Qualifications

• Rare disease experience.
• Understanding of the top regional and national payers within the assigned geography.
• Experience in launching a new specialty pharmaceutical/biologic product or new product indication.
• Neurology, Hematology, and/or Nephrology experience.
• PACS (Prior Authorization Certification Specialist) certification.
• Familiarity with applying AI tools and techniques to enhance efficiency.

Pay

The annual base pay for this position ranges from $147,017.60 to $220,526.40 USD. The role is eligible for various incentives, including short-term incentive bonuses, equity-based awards, and commissions (for sales roles).

Benefits

• Qualified retirement programs.
• Paid time off (vacation, holiday, and leaves).
• Health, dental, and vision coverage in accordance with the terms of the applicable plans.