Field Reimbursement Manager - Kidney (South Florida)

General Summary Field-based Field Reimbursement Manager for Vertex Kidney Patient Support Program (KPSP), serving as local subject matter expert to nephrology practices with non-promotional access and reimbursement education; troubleshoot access issues and provide territory-level payer expertise to support timely patient access. Key Duties And Responsibilities Compliantly establish connections with nephrology office staff (care team and authorization/patient access administrators) to support patient access. Partner with case management to address escalated access issues; coordinate handoffs via CRM triggers/workflows. Educate offices on copay, PAP, Bridge programs, and affordability pathways; ensure offices understand documentation requirements. Maintain knowledge of commercial and government prescription coverage and payer trends. Conduct compliant on-site and virtual in-services/trainings on payer policies/formulary updates, PA/medical exceptions, coding/billing (ICD-10, CPT), documentation, distribution/hub/enrollment/reimbursement workflows. Independently manage a multistate region; prioritize accounts by patient need, payer dynamics, and KPSP demand. Develop territory engagement plans to minimize access barriers; adhere to strict non-promotional guidelines and maintain patient health information confidentiality. Knowledge And Skills Specialty biologics/rare disease/complex pharmacy benefit experience; account management with HCPs/office staff. Navigate payer portals/CRM and field access tools; strong communication/training/relationship-building. Analytical skills; use data/reporting tools to manage caseload/prioritize. Experience developing/executing strategic account plans; judgment/problem-solving. Travel 50-70% within territory; proficiency in Outlook/Word/Excel/PowerPoint/Salesforce CRM. Valid driver’s license; meet healthcare representative credentialing requirements. Education And Experience Bachelor’s degree (health care/life sciences/business); advanced degree preferred. 5+ years in sales, reimbursement, market access, specialty pharmacy, patient services, or field access. Deep understanding of benefits investigations, PA processes, appeals, coverage policies; knowledge of Medicare/Medicaid/commercial. Pay Range $136,000 - $204,000 (eligible for annual bonus and annual equity awards). Application Instructions Contact recruiter/hiring manager for accommodations during hiring; Talent Acquisition: View email address on click.appcast.io. #J-18808-Ljbffr