Field Reimbursement Manager

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Field Reimbursement Manager based in the United States.

As a Field Reimbursement Manager, you will help improve patient access to innovative medical therapies by addressing complex reimbursement and insurance coverage challenges. You will serve as a trusted resource for healthcare providers, hospitals, ambulatory surgery centers, and other stakeholders navigating reimbursement requirements. Working closely with field sales, internal reimbursement teams, and cross-functional partners, you will provide practical guidance on coding, coverage, payment, and prior authorization processes. You will also deliver education, strengthen customer relationships, and support strategic initiatives that reduce barriers to treatment. This remote, customer-facing role offers the opportunity to combine healthcare expertise, problem-solving, and relationship management in a fast-paced medical technology environment. Your work will directly contribute to smoother reimbursement processes and improved access to patient care.

You will act as a subject matter expert in reimbursement and market access, helping healthcare providers navigate payer requirements while ensuring that all activities comply with applicable regulations and internal policies.

• Serve as a subject matter expert on coding, coverage, and payment requirements for Medicare and commercial insurance payers, addressing complex reimbursement challenges that affect patient access.
• Educate healthcare providers, administrators, hospitals, and ambulatory surgery centers on reimbursement resources, processes, and support programs.
• Proactively identify and resolve account-level and patient-specific access issues in collaboration with internal reimbursement teams, prior authorization support services, field sales, and external stakeholders.
• Respond to requests for customer site visits, reimbursement support, program reviews, and account-specific guidance.
• Build and maintain strong relationships with healthcare professionals and other stakeholders through ongoing reimbursement engagement and cross-functional collaboration.
• Execute strategic market access and reimbursement priorities, identifying and prioritizing key accounts to align support with business objectives.
• Develop and deliver reimbursement presentations, customer training sessions, educational materials, and other resources tailored to different healthcare settings.
• Monitor changes in healthcare reimbursement, payer policies, industry trends, and relevant Centers for Medicare & Medicaid Services (CMS) developments.
• Communicate payer-related coverage challenges and provide guidance on navigating reimbursement barriers.
• Collaborate with Sales, Marketing, Medical Education, Legal, Compliance, and other internal teams to coordinate customer support and improve access outcomes.
• Manage additional responsibilities as organizational needs evolve in a dynamic environment.
• Ensure all activities comply with applicable laws, regulations, industry standards, and internal quality systems and policies.

Requirements:

The ideal candidate has substantial experience in healthcare reimbursement or market access, a strong understanding of insurance payer processes, and the communication skills needed to support healthcare professionals across multiple care settings.

• Bachelor's degree in business, science, healthcare administration, or a related field.
• At least 7 years of experience in reimbursement or market access, or demonstrated experience managing complex insurance claims, denials, and appeals involving Medicare and commercial payers.
• Strong knowledge of coding, coverage, and payment requirements for implantable medical devices across healthcare settings, including healthcare professional offices, ambulatory surgery centers, and hospitals.
• Experience engaging directly with healthcare professionals and delivering educational sessions in individual and group settings.
• Excellent verbal and written communication skills, including strong in-person and virtual presentation capabilities.
• Demonstrated ability to solve problems independently while collaborating effectively with cross-functional teams.
• Strong organizational skills, initiative, and consistent follow-through when managing customer requests and reimbursement challenges.
• Experience coordinating projects and working with multiple internal and external stakeholders.
• Willingness and ability to travel regularly, up to 25% of the time.
• Preferred qualifications:
  • Experience working with implantable medical devices.
  • Experience with neurology products.
  • Coding certification, such as Certified Professional Coder (CPC) or Certified Outpatient Coder (COC).
• Must be based in Florida, as the position is remote and the stated eligible location is Florida.

Benefits:

• Annual salary range of $160,000–$190,000, with the final offer based on experience, qualifications, geographic location, education, and skills.
• Multiple health insurance plan options.
• Employer contributions to a Health Savings Account (HSA).
• Dental and vision coverage.
• Life and disability insurance benefits.
• 401(k) retirement plan with employer matching contributions.
• Flexible time off.
• Tuition reimbursement to support continued education and professional development.
• Employee Assistance Program.
• Identity protection benefits.
• Opportunities to participate in company ownership and growth through equity awards and an Employee Stock Purchase Program.
• Remote work arrangement for eligible candidates based in Florida.

How Jobgether works:

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

Why Apply Through Jobgether?

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

#LI-CL1