Field Reimbursement Manager - Kidney (South Central - AR, MS, LA, TN)

Field Reimbursement Manager (Kidney Patient Support Program - KPSP) Key Duties and Responsibilities Build compliant relationships with nephrology office personnel (care team and prior authorization/access administrators). Partner with case management to resolve escalated access issues and ensure coordinated handoffs (CRM triggers/workflows). Educate offices on copay, PAP, Bridge programs, and affordability pathways to support timely patient access. Follow up on case status and ensure offices understand insurance documentation requirements. Maintain knowledge of commercial and government prescription coverage requirements and payer trends. Conduct compliant on-site/virtual in-services and training on regional payer policies, formulary updates, PA/medical exception criteria, ICD-10/CPT coding and documentation, and distribution/hub/reimbursement workflows. Independently manage a multistate territory; prioritize accounts based on patient need, payer dynamics, and KPSP demand. Develop territory engagement plans and minimize patient-specific access barriers. Adhere to non-promotional guidelines; protect patient health information and follow all applicable laws/regulations and company policies. Knowledge and Skills / Qualifications Experience with specialty biologics/rare disease therapies/complex pharmacy benefit products. Account management with HCP offices; strong payer investigation and PA/appeals/coverage knowledge. Ability to navigate payer portals and CRM/field tools; strong communication/training skills. Analytical skills; ability to use data/reporting to manage caseload. Travel 50–70% within territory; valid driver’s license; industry credentialing. Proficiency: Outlook, Word, Excel, PowerPoint, Salesforce CRM. Education and Experience Bachelor’s degree (health care, life sciences, or business); advanced degree preferred. 5+ years in sales, reimbursement, market access, specialty pharmacy, patient services, or field-based access roles. Deep understanding of benefits investigations, PA processes, appeals, and payer ecosystems; Medicare/Medicaid/commercial expertise. Pay Range $136,000 - $204,000 #J-18808-Ljbffr