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

General Summary Field-based Field Reimbursement Manager (Kidney Patient Support Program, KPSP) serving as local subject matter expert to nephrology practices, providing compliant reimbursement/access education and troubleshooting to support timely patient access to prescribed therapies. Key Duties And Responsibilities Establish compliant connections with nephrology office personnel (care team and authorization/patient access staff). Partner with case management to address escalated access issues; coordinate handoffs via CRM triggers/workflows. Educate offices on copay, PAP, Bridge programs, and other affordability pathways. Follow up on case status and ensure understanding of insurance documentation requirements. Maintain knowledge of commercial and government insurance coverage requirements and payer trends. Conduct on-site/virtual in-services and training on payer policies, PA/medical exception criteria, ICD-10/CPT coding, documentation, and reimbursement workflows. Manage a multistate territory; develop territory engagement plans to minimize access barriers. Adhere to strict non-promotional guidelines; maintain patient confidentiality and compliance with applicable laws/policies. Knowledge And Skills (Selected) Specialty biologics/rare disease or complex pharmacy benefit experience; account management with HCP offices. Ability to navigate payer portals and CRM/tools; strong training/relationship-building and analytical skills. Travel 50–70% within territory; proficiency with MS Office and Salesforce CRM. Education And Experience Bachelor’s degree in health care/life sciences/business (advanced degree a plus). 5+ years in sales, reimbursement, market access, specialty pharmacy, patient services, or field access. Deep understanding of benefits investigations, PA/appeals, coverage policies, and Medicare/Medicaid/commercial. Pay Range $136,000–$204,000. Eligible for annual bonus and annual equity awards. #J-18808-Ljbffr Scorpion Therapeutics