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

About the role

This 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 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 cross-functional partners on overall account and territory planning and strategy to maximize internal/external customer knowledge on payer policy and processes and routine documentation and presentation of plans.
• Serve as a subject matter expert on reimbursement and the 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 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 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 activities; work with the highest degree of professionalism and in accordance with the company’s Code of Ethics and Business Conduct.

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 the access process from medical and pharmacy benefit design through Rx to infusion/injection
• Experience with products that require prior authorization and a clear understanding of related billing, coding, and in-office support

Qualifications

• Demonstrated adaptability to changing direction as conditions shift; learning mindset; ownership and drive
• 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 using iPad and laptop; proficiency in Microsoft Word, Excel, PowerPoint, and Outlook
• Willingness to travel with equipment to coordinate daily with key partners on education and case work

Travel and Role Requirements

• Ability to travel to work-related meetings and functions and ability to travel overnight for up to 4 nights per week
• Ability to travel 60–75% of the time
• Ability to drive to assigned targets within the territory with a company-provided fleet electric vehicle
• A valid driver’s license and clean driving record
• Ability to travel regionally and cover large multi-state territories
• Must reside in the assigned territory; relocation assistance is not provided
• Must reside within Florida

Preferred

• 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
• Experience working with billing and medical claim personnel in a healthcare setting
• Prior Authorization Certification Specialist (PACS) credential
• Familiarity with applying AI tools and techniques to enhance efficiency