Field Reimbursement Manager, Retina; Northwest

Thea Pharma Inc. is the newly established US commercial organization of French-based pharmaceutical company, Laboratoires Théa (Clermont-Ferrand). Thea Pharma markets a suite of leading eye-care drugs that have been approved by the U.S. Food and Drug Administration (FDA), including CYKLX™, ZOLYMBUS™, IYUZEH™,Zioptan®,Cosopt®,Cosopt® PF,Azasite®,Akten®, and Betimol®, as well asAcellFX™ Acellular Amniotic Membrane and the portfolio of iVIZIA dry-eye drops and eyelid hygiene products.

By focusing its parent company’s passion andexpertisewithin the U.S. market, Thea Pharma’s goal is to deliver uncompromising care that enables all stakeholders to envision the future of ophthalmic treatment with eyes wide open.

The Field Reimbursement Manager (FRM) – Retina is a field-based specialist responsible for addressing access, reimbursement, and coverage barriers for our retina portfolio. You will serve as the primary strategic expert for retina practices, ophthalmologists, and billing staff—helping them navigate complex insurance processes, prior authorizations, appeals, and "buy-and-bill" procedures.

As a launch-focused FRM, you will be instrumental in executing the market access readiness strategy for our newly launched retina therapy. You will proactively prepare accounts for launch, accelerating the time-to-treatment by mitigating initial billing uncertainties, helping practices secure early coverage, and instilling confidence in our reimbursement processes. This role does not involve commercial sales or promoting the clinical benefits of the drug.

You will partner with your internal Matrix team to ensure that practices are prepared and comfortable with Thea and our new products.

Partner with Compliance, Finance, Distribution, and Training to ensure coordinated customer engagement and successful execution of reimbursement strategies. This role reports to theDirectorof Retina Field  Reimbursement.

• Pre-Launch Account Readiness:
  Conduct intensive pre-launch and immediate post-launch billing and coding workshops for high-volume retina practices to minimize administrative delays.
• J-Code Tracing:
  Educate practices on how to properlysubmitclaims using new permanent J-Code HCPCS codes without an established ASP andleadthe smooth operational transition once the ASP is established.
• Tracking "First-Claim" Success:
  Closelymonitorinitial claims submissions for early-adopting practices toidentifyandimmediatelytroubleshoot systemic payer rejections or clearinghouse formatting errors.
• Strategic Account Support:
  Serve as the subject matter expert on reimbursement, coverage, and access for complex retina practices, ASCs (Ambulatory Surgery Centers), and hospital outpatient departments.
• Provider
  
  Education:
  
  Educate clinic staff, specialized billing personnel, and practice managers on local/national payer policies, prior authorization requirements, claims submission processes, and specific coding (J-codes, CPT codes, ICD-10).
• Reimbursement Troubleshooting:
  Analyze and help resolve complex reimbursement issues, including denied claims, underpayments, and complex appeals, byprovidingcompliant guidance.
• Buy-and-Bill & Specialty Pharmacy Expertise:
  
  Guidepractices on the operational mechanics of the buy-and-bill model, specialty pharmacy fulfillment, inventory management, and utilizing co-pay or patientassistanceprograms.
• Local Payer Policy Tracking:
  Actively track and map the rollout of local commercial and Managed Medicaid policy determinations for the new product, relaying real-time market updates back to internal launch teams.
• Hub Coordination:
  Ensure clinic staff are fully trained on how toutilizethe new product's Patient Support Program…