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. Educate HCP offices on coverage status, prior authorizations, appeals, and alternate funding options for uninsured/underinsured patients. Build and maintain relationships with HCPs, office staff, and health system stakeholders. Analyze regional/local payer coverage trends, reimbursement criteria, and payer mix. Provide guidance on specialty pharmacy services and help navigate complex distribution channels. Partner with Patient Support 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. Resolve reimbursement issues and **escalate cases** as needed. Identify process improvements to enhance patient access and provider satisfaction. Maintain compliance with legal, regulatory, and company policies (including 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: prior authorizations and navigating the US payer landscape. 3–6 years supporting Specialty Pharmaceuticals/Biologics. Deep understanding of reimbursement, access, and specialty pharmacy operations. Experience supporting product launches or guiding patients through insurance approval. Strong understanding of specialty pharmacy distribution models and patient services programs. Knowledge of HIPAA and other federal/state laws for patient confidentiality/healthcare communications. Bilingual skills (English/Spanish) highly desired. Exceptional communication and interpersonal skills; able to build trust. Comfortable with ambiguity and managing multiple cases. Digital fluency with CRM platforms; comfort educating patients 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; company-paid short/long-term disability; voluntary pet and legal insurance; EAP; employee discounts and professional development; HSA and FSA; accident/critical illness/hospital indemnity; paid parental leave and mental health resources; performance-based incentive compensation. Compensation Annual base salary: $180,000–$190,000 (may vary by qualifications); some roles may include company car/car allowance and eligibility for commissions/bonus. #J-18808-Ljbffr