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 authorization processes, 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 escalating cases when needed. Identify process improvements to enhance patient access and provider satisfaction. Maintain compliance with legal/regulatory/company policies, including patient privacy and promotional conduct. Requirements/Qualifications 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 confidentiality/healthcare communications laws. Bilingual (English/Spanish) highly desired. Track record supporting complex therapies in rare/specialty conditions. Exceptional communication/interpersonal skills; able to build trust. Comfortable with ambiguity and managing multiple cases. Digital fluency with CRM platforms; comfort educating on technology-enabled support tools (including AI). Benefits 401(k) plan with company match; medical/dental/vision. Company-paid Life and AD&D; short- and long-term disability. Voluntary pet and legal insurance; EAP. HSA and FSA; accident/critical illness/hospital indemnity insurance. Paid parental leave and mental health resources. Performance-based incentive compensation plans. Compensation Annual base salary: $180,000-$190,000 (may vary). Some roles may include car allowance and commission/bonus eligibility. #J-18808-Ljbffr