Field Reimbursement Manager - Kidney; Pacific Northwest - WA, OR WY, MT, AK

General Summary

Field-based Field Reimbursement Manager for Kidney Patient Support Program (KPSP), serving as non-promotional access and reimbursement education subject matter expert to nephrology practices and supporting timely patient access to prescribed therapies through troubleshooting and payer expertise.

• Establish compliant relationships with nephrology care team and administrative staff (prior authorizations/patient access).
• Partner with case management to address escalated access issues; coordinate handoffs via CRM workflows.
• Educate offices on copay, PAP, Bridge programs, and affordability pathways.
• Follow up on case status and ensure offices understand insurance documentation requirements.
• Maintain understanding of commercial and government prescription insurance coverage requirements and payer trends.
• Conduct compliant on-site/virtual in‑services and training on payer policies/formulary/coverage nuances; PA/medical exception criteria; ICD‑10/CPT and documentation; distribution pathways, hub services, enrollment, and reimbursement workflows.
• Manage a multistate region independently; develop territory engagement plans to minimize access barriers.
• Adhere to non‑promotional guidelines, comply with legal/compliance/privacy guardrails, and maintain patient confidentiality.

• Specialty biologics/rare disease or complex pharmacy benefit experience; account management with HCPs.
• Navigate payer portals/CRM and field tools; strong training/relationship‑building; analytical and data/reporting skills.
• Strategic account planning, judgment/problem‑solving; travel 50–70%.
• Proficient in MS Outlook, Word, Excel, PowerPoint;
  Salesforce CRM.
• Valid driver’s license; meet healthcare credentialing requirements.

• Bachelor’s in healthcare/life sciences/business (advanced degree a plus); 5+ years in reimbursement/market access/specialty pharmacy/patient services/field access.
• Deep PA/appeals/coverage‑policy understanding;
  Medicare/Medicaid/commercial payer knowledge.

$136,000–$204,000 (eligible for annual bonus and annual equity awards).