Field Reimbursement Manager

Field Reimbursement ManagerThe Field Reimbursement Manager (FRM) serves as the subject-matter expert on reimbursement, access, and coverage issues for our products, primarily focusing on Nephrology and Rare Disease. This role operates as a crucial liaison between healthcare providers (HCPs), internal teams, and external stakeholders to facilitate appropriate patient access to our products.Key Responsibilities:Educate HCPs and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirementsAnalyze payer criteria and provide product access expertise to healthcare officesCoordinate with Hubs on individual patient cases, including patient support services and enrollmentCollaborate with Field Sales, Specialty Pharmacy Accounts, and other matrix partnersManage daily field-based activities, spending 60-70% of time interacting with key stakeholders across various care sitesExecute collaborative territory plans through partnerships with internal and external stakeholdersReview and educate offices on payer policies, including prior authorization requirementsProvide feedback to internal teams on local payer trends and access issuesAssist in resolving patient-specific coverage challenges when requested by healthcare providersSkills and Abilities:Excellent verbal and written communication skillsStrong interpersonal and consultative abilitiesSelf-directed with outstanding organizational skillsAbility to build and maintain strong relationships with internal and external customersProficient in delivering training and presentationsQualifications Required:Bachelor's degree5+ years of pharmaceutical industry experience, with focus on payer policy and reimbursement3+ years of experience in benefit verifications, prior-authorization requirements, or equivalent experience in patient access, billing, and coding in rare diseasePreferred:Strong knowledge of Centers for Medicare & Medicaid Services (CMS) policies and processes, especially Medicare Part DExperience in "Buy and Bill" reimbursement environmentNephrology experience strongly preferredComprehensive understanding of US healthcare system payer billing practicesProficiency in MS Office suiteTravel: Ability to travel up to 60-70% domestically. Valid driver's license required.Competencies:Accountability for ResultsStrategic Thinking & Problem SolvingPatient & Customer CentricityImpactful CommunicationRespectful CollaborationEmpowered DevelopmentCompensation: Minimum $134,615.00 - Maximum $201,250.00, plus incentive opportunity.Company benefits: Comprehensive medical, dental, vision, prescription drug coverage, company provided basic life, accidental death & dismemberment, short-term and long-term disability insurance, tuition reimbursement, student loan assistance, a generous 401(k) match, flexible time off, paid holidays, and paid leave programs as well as other company provided benefits.Join Our Talent Community: Stay connected with Otsuka by joining our Talent Community. Tell us about your interests, and we'll notify you about future opportunities that align with your background.