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Field Reimbursement Manager - Houston, TX

Scorpion Therapeutics

Responsibilities: Establish and maintain collaborative relationships with Patient Services Program Partners, Field Sales, and Healthcare Providers to support patient access. Educate HCPs on prior authorization, appeals, and/or denials to support the patient journey. Review patient‑specific information when sites request assistance resolving coverage issues. Partner with internal/external stakeholders to identify, anticipate, and address access barriers; implement solutions/updates. Use HUB and specialty pharmacy partners to remove patient access barriers. Monitor patient start trends in assigned geographies/plans and proactively address challenges with Field Sales and Patient Services. Maintain knowledge of payor/prescriber market dynamics and HUB/specialty distribution channels. Serve as subject matter expert on access and affordability solutions across payer types (e.g., Medicare, Medicaid Managed Care, Commercial). Adapt to the changing healthcare ecosystem to customize resourcing and messaging. Qualifications & Skills: B.A./B.S. with 6–9 years in field reimbursement, patient services, market access, or related pharma/biotech experience (or equivalent). 3–5 years as a field reimbursement manager in field reimbursement/access services and/or healthcare operations (public or private). Strong knowledge of medication access channels (preferred). Expert understanding of specialty pharmacy and insurance/benefits (Medicare Part D, commercial, Medicaid): eligibility, benefit verification, prior authorization, coverage, appeals, financial assistance, co‑pay support, and free product programs. Knowledge of HCP office processes for patient/prescription flow and clinic operations; GI product/provider experience preferred. Excellent relationship, interpersonal, and communication skills; ability to influence cross‑functionally. Ability to evaluate data, identify trends/barriers, and translate into actionable steps. Benefits: 401(k) with employer match Paid parental leave (12 weeks) Living organ/bone marrow leave (up to 12 weeks) Health plans Life insurance/disability Equity incentive plans Flexible time off Winter Holiday shutdown At least 11 paid holidays #J-18808-Ljbffr Scorpion Therapeutics

Vacancy posted 1 day ago
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