Field Reimbursement Manager - Kidney (Southeast - AL, GA, FL)

General Summary Field-based Field Reimbursement Manager for Vertex’s Kidney Patient Support Program (KPSP), serving as a local subject matter expert to nephrology practices. Provide non-promotional access and reimbursement education, troubleshoot to support timely patient access, and use territory-level payer expertise. Key Duties And Responsibilities Compliantly build connections with nephrology office care teams and administrative staff (prior authorizations/patient access) to support prescribed medication access. Partner with case management on escalated access issues; use CRM triggers/workflows for coordinated handoffs. Educate offices on copay, PAP, Bridge programs, and other affordability pathways; provide timely follow-up on case status and insurance documentation requirements. Maintain understanding of commercial/government prescription coverage requirements and payer trends. Conduct on-site/virtual in-services and training on payer policies/formulary updates, PA/medical exception criteria, coding/billing (ICD-10, CPT), documentation, distribution pathways/hub services/enrollment, and reimbursement workflows. Independently manage a multistate region; develop territory engagement plans; tailor engagement to office workflows. Follow non-promotional guidelines and comply with laws/regulations and confidentiality requirements. Knowledge And Skills (Qualifications) Specialty biologics/rare disease/complex PBM experience; account management with HCP offices. Ability to navigate payer portals/CRM and field access tools; strong communication/training/relationship and analytical skills; leverage data/reporting to prioritize caseload. Travel 50–70%; proficiency: Outlook, Word, Excel, PowerPoint, Salesforce CRM. Valid driver’s license; meet healthcare representative credentialing. Education And Experience Bachelor’s degree (health care/life sciences/business); advanced degree preferred. 5+ years in sales, reimbursement, market access, specialty pharmacy, patient services, or field-based access. Deep understanding of benefits investigations, PA processes, appeals, coverage policies; knowledge of Medicare/Medicaid/commercial plans. Pay Range $136,000 - $204,000 Application As part of the hiring process, contact the recruiter/hiring manager; accommodation requests may be sent to View email address on click.appcast.io. #J-18808-Ljbffr