Field Reimbursement Manager - Kidney (NJ-MD-DE)

General Summary Field-based Field Reimbursement Manager for Vertex’s Kidney Patient Support Program (KPSP). Serve as a local subject matter expert to nephrology practices, providing non-promotional access and reimbursement education, and support timely patient access through troubleshooting and payer expertise. Key Duties and Responsibilities Build compliant relationships with nephrology office staff to support prior authorization and patient access. Partner with case management to resolve escalated access issues; coordinate handoffs using CRM workflows. Educate offices on copay, PAP, Bridge programs, and other affordability pathways; follow up on case status and insurance documentation requirements. Maintain knowledge of commercial and government 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, distribution/hub services, enrollment, and reimbursement workflows. Independently manage a multistate territory; develop engagement plans based on local payer landscapes. Adhere to strict non-promotional and compliance/privacy guidelines; maintain patient confidentiality. Knowledge and Skills Specialty biologics/rare disease and complex pharmacy benefit experience; account management with HCPs. Ability to navigate payer portals and CRM tools; strong training/relationship skills. Analytical skills; data/reporting to manage caseload and prioritize. Travel 50–70%; proficiency with Microsoft Office and Salesforce CRM. Valid driver’s license; meet healthcare representative credentialing requirements. Education and Experience Bachelor’s degree (health care/life sciences/business); advanced degree a plus. 5+ years in sales/reimbursement/market access/specialty pharmacy/patient services or field-based access. Deep understanding of benefits investigations, PA/appeals, and Medicare/Medicaid/commercial payers. Compensation and Benefits Pay range: $136,000–$204,000; eligible for annual bonus and annual equity awards. Additional benefits include medical/dental/vision, paid time off, education assistance (e.g., student loan repayment), commuting subsidy, charitable donations, and 401(k). #J-18808-Ljbffr Scorpion Therapeutics