Field Reimbursement Manager

Field Reimbursement Manager (FRM) Key Responsibilities Act as a compliant subject matter expert (SME) in reimbursement, access, and specialty distribution for assigned geography. Provide education to HCP offices on coverage status, prior authorization processes, appeals, and alternate funding options for uninsured/underinsured patients. Build and maintain productive relationships with HCPs, office staff, and health system stakeholders. Analyze regional and local payer coverage trends, reimbursement criteria, and payer mix. Provide guidance on specialty pharmacy services and help customers navigate complex distribution channels. Partner with the Patient Support team to ensure accurate benefit investigations and streamlined patient onboarding. Collaborate with internal partners to build local access strategies aligned with business objectives. Develop and execute territory-level business plans using strategic customer insights. Participate in field-based problem-solving, including reimbursement issue resolution and case escalation when needed. Identify process improvements and innovations to enhance patient access and provider satisfaction. Maintain compliance with legal/regulatory/company policies, especially patient privacy and promotional conduct. Requirements Bachelor’s degree in an allied health field (preferred) or equivalent work experience. 8+ years in pharmaceutical/biotech/related healthcare industry. Prior reimbursement experience required: substantial experience with prior authorizations and navigating the US payer landscape. 3–6 years supporting Specialty Pharmaceuticals/Biologics. Deep understanding of reimbursement/access/specialty pharmacy operations; specialty pharmacy distribution models and patient services programs. Experience supporting product launches or guiding patients through insurance approval. Knowledge of HIPAA and other federal/state laws governing patient confidentiality and healthcare communications. Bilingual (English/Spanish) highly desired. Proven track record supporting complex therapies in rare or specialty conditions. Exceptional communication/interpersonal skills; ability to build trust. Comfort navigating ambiguity; manage multiple cases and solve problems in real time. Digital fluency with CRM platforms; comfort educating on technology-enabled support tools (including AI-based platforms). Benefits 401(k) plan with company match; comprehensive medical/dental/vision. Company-paid Life and AD&D; short and long-term disability. Voluntary Pet Insurance and Legal Insurance; EAP. Employee Discounts and Professional Development. HSA and FSA. Accident, Critical Illness, and Hospital Indemnity Insurance. Paid parental leave and mental health resources. Performance-based incentive compensation plans. Compensation Annual base salary: $180,000–$190,000. #J-18808-Ljbffr