Field Reimbursement Manager - Richmond, VA

Description Ardelyx is a commercial-stage biopharmaceutical company focused on redefining treatment approaches for patients with significant unmet medical needs. By combining scientific innovation with a collaborative, purpose-driven culture, we strive to create meaningful impact for patients. Team Ardelyx is united by a shared mission and guided by our core values: Passionate, Fearless, Dedicated, and Inclusive. We foster an inclusive environment where employees are respected, supported, and empowered to make an impact – both within our company and in the lives of patients we serve. Position Summary The Field Reimbursement Manager (FRM) is responsible for supporting the patient access process for our gastroenterology business. The FRM leverages account management, data analytics, and reimbursement expertise to facilitate timely access to Ardelyx’s products, executing the collaborative territory strategic plan, understanding the patient access process, and navigating patient support programs. The FRM collaborates with Field Sales and other internal stakeholders to serve as an access and reimbursement expert for assigned geographies. Responsibilities Establish and maintain collaborative working relationships with Patient Services Program Partners, Field Sales, and Healthcare Providers to support patient access. Aid HCPs with the patient journey by providing education on prior authorization, appeals, and/or denials. Review patient‑specific information in cases where the site has requested assistance resolving coverage challenges. Partner with internal and external stakeholders to identify, anticipate, and address patient and HCP access barriers; implement updates based on solutions generated. Utilize HUB and specialty pharmacy partners to ensure patient access barriers are removed. Monitor patient start trends in assigned geographies/plans and collaborate with Field Sales and Patient Services partners to proactively address and mitigate challenges. Maintain knowledge of national, regional, local, and account market dynamics for payors and prescribers, as well as HUB and specialty distribution channels. Serve as a subject matter expert on education and insights regarding access and affordability solutions across multiple payer types and plans (Medicare, Medicaid Managed Care, Commercial). Understand and adapt to the changing healthcare ecosystem to customize resources and messaging for HCPs and HCP staff. Qualifications B.A./B.S. degree with 6–9 years of experience in field reimbursement, patient services, market access, or related functions within the pharmaceutical/biotech industry (or equivalent). 3–5 years of experience as a field reimbursement manager within public or private field reimbursement or access services, healthcare operations, or equivalent experience. Extensive knowledge of medication access channels preferred. Strong functional knowledge of specialty pharmacy and health insurance and benefits (Medicare Part D, commercial, and Medicaid), including insurance eligibility, benefit verification, prior authorization processes, reimbursement coverage, appealing denials, financial assistance application, co‑pay support, and free product programs. Knowledge of HCP office processes regarding patient flow, prescription flow, and clinic office operations; direct experience with GI products or providers preferred. Outstanding customer relationship, interpersonal, and communication skills with the ability to influence cross‑functionally. Ability to evaluate data, identify trends and barriers, and translate findings into actionable steps. Work Environment This position reports to an Associate Director/Director, Field Access and Reimbursement. Travel will vary by territory and business need. Up to 75% of time will be spent in the field. The anticipated annualized base pay range for this full‑time position is $145,000–$190,000. Ardelyx utilizes industry data to ensure competitive compensation, and the actual base pay will be determined based on experience, qualifications, and internal equity. The compensation package may also include an annual bonus target and equity awards, subject to eligibility and other requirements. Ardelyx offers a robust benefits package including a 401(k) plan with generous employer match, paid parental leave, organ and bone marrow leave, equity incentive plans, health plans (medical, prescription drug, dental, and vision), life insurance and disability, flexible time off, annual Winter Holiday shutdown, and at least 11 paid holidays. Ardelyx is an equal‑opportunity employer. #J-18808-Ljbffr Ardelyx