Field Reimbursement Manager

Job DescriptionIf your skills, experience, and qualifications match those in this job overview, do not delay your application.Job Title: Field Reimbursement Manager (FRM) – Remote with Territory TravelLocation: Remote –must be located in a big metropolitan areaTravel: Up to 80% (4 days/week) via automobile or airPosition OverviewWe are seeking a Field Reimbursement Manager (FRM) to support access and reimbursement services for a specialty pharmaceutical product. In this client-facing, remote-based role, you will work directly with physician offices and manufacturer partners to resolve reimbursement challenges and deliver critical education on payer landscapes and available support services. The FRM acts as a trusted advisor and key liaison between healthcare providers, specialty pharmacies, and internal patient support services. This is a high-visibility, fast-paced role that demands a strong understanding of medical reimbursement, Medicare and commercial payers, and buy-and-bill or specialty pharmacy distribution models.Key ResponsibilitiesField & Virtual Education (35%) - Deliver on-site or virtual training and education to healthcare providers and staff on reimbursement processes, including lunch-and-learns and scheduled presentations. Log all activity in CRM daily.Benefit & Access Education (25%) - Educate providers on benefit verification, prior authorization, payer trends, and support center services. Document and report all interactions as required by the client.Reimbursement Support (20%) - Assist offices with claims, billing and coding, appeals, medical benefit interpretation, and co-pay or patient assistance programs. Coordinate closely with case managers for resolution.Territory Management (10%) - Manage a schedule of outbound calls, appointment setting, and in-office follow-ups. Collaborate with manufacturer field teams to ensure seamless communication and data sharing.Program Performance Monitoring (10%) - Track territory metrics in CRM, analyze trends, and contribute to quarterly reporting and customer satisfaction feedback as needed.Qualifications:Bachelor's degree or equivalent experience8+ years in healthcare reimbursement (Buy & Bill, Specialty Pharmacy)Knowledge of Medicare & commercial insuranceStrong communication, customer service, and organizational skillsProficient with PowerPoint, CRM systems, and virtual meeting toolsValid driver's license; must be able to travel up to 80%Preferred Qualifications:Field reimbursement or specialty pharmacy experienceAccount management or pharmaceutical industry experienceWorking Conditions:Remote/Work-from-Home (must reside within the assigned territory)Travel required up to 80% (valid driver's license and clean MVR required)Benefit offerings available for our associates include: xhyhwjd Medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits, and a 401K planFlexibility to choose the type of coverage that meets individual needsEligibility for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicableEqual Opportunity Employer/Veterans/DisabledTo read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:The California Fair Chance ActLos Angeles City Fair Chance OrdinanceLos Angeles County Fair Chance Ordinance for EmployersSan Francisco Fair Chance Ordinance