Field Reimbursement Manager

Field Reimbursement Manager (FRM)
Key Responsibilities

• Act as a compliant subject matter expert (SME) in reimbursement, access, and specialty distribution for assigned geography.
• Educate HCP offices on coverage status, prior authorizations, appeals, and alternate funding options for uninsured/underinsured patients.
• Build and maintain relationships with HCPs, office staff, and health system stakeholders.
• Analyze regional/local payer coverage trends, reimbursement criteria, and payer mix.
• Provide guidance on specialty pharmacy services and help navigate complex distribution channels.
• Partner with Patient Support to ensure accurate benefit investigations and streamlined patient onboarding.
• Collaborate with internal partners to build local access strategies aligned with business objectives.
• Develop and execute territory-level business plans using strategic customer insights.
• Resolve reimbursement issues and
  ** escalate cases
  ** as needed.
• Identify process improvements to enhance patient access and provider satisfaction.
• Maintain compliance with legal, regulatory, and company policies (including patient privacy and promotional conduct).

• Bachelor’s degree in an allied health field preferred or equivalent work experience.
• 8+ years in pharmaceutical/biotech/related healthcare industry.
• Prior reimbursement experience required: prior authorizations and navigating the US payer landscape.
• 3–6 years supporting Specialty Pharmaceuticals/Biologics.
• Deep understanding of reimbursement, access, and specialty pharmacy operations.
• Experience supporting product launches or guiding patients through insurance approval.
• Strong understanding of specialty pharmacy distribution models and patient services programs.
• Knowledge of HIPAA and other federal/state laws for patient confidentiality/healthcare communications.
• Bilingual skills (English/Spanish) highly desired.
• Exceptional communication and interpersonal skills; able to build trust.
• Comfortable with ambiguity and managing multiple cases.
• Digital fluency with CRM platforms; comfort educating patients on technology-enabled support tools (including AI-based platforms).

• 401(k) plan with company match; comprehensive medical/dental/vision; company-paid Life and AD&D; company-paid short/long-term disability; voluntary pet and legal insurance; EAP; employee discounts and professional development; HSA and FSA; accident/critical illness/hospital indemnity; paid parental leave and mental health resources; performance-based incentive compensation.

• Annual base salary: $180,000–$190,000 (may vary by qualifications); some roles may include company car/car allowance and eligibility for commissions/bonus.