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 Identify process improvements to enhance patient access and provider satisfaction. Maintain compliance with applicable legal/regulatory requirements and patient privacy/promotional conduct policies. 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, and specialty pharmacy operations. Experience supporting product launches or guiding patients through insurance approval processes. 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 (English/Spanish) highly desired. Proven track record supporting complex therapies in rare/specialty conditions. Exceptional communication/interpersonal skills; builds trust with providers and internal partners. Comfortable with ambiguity, managing multiple cases, and solving problems in real time. Digital fluency with CRM platforms; comfortable 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- and long-term disability. Voluntary Pet Insurance and Legal Insurance. Employee Assistance Program (EAP). Employee Discounts and Professional Development programs. HSA and FSA. Accident, Critical Illness, and Hospital Indemnity Insurance. Paid parental leave and mental health resources. Performance-based incentive compensation plans. Annual base salary: $180,000–$190,000 (varies by qualifications/skills/competencies). #J-18808-Ljbffr Scorpion Therapeutics