Access & Reimbursement Manager; ARM Upper Midwest​/Plains

Committed to the preservation of vision.
Help bring the first ophthalmic formulation of bevacizumab to people living with wet AMD. Access & Reimbursement Manager (ARM) – Upper Midwest / Plains

Outlook Therapeutics (Nasdaq: OTLK) is a commercial-stage biopharmaceutical company redefining the standard of care in retinal disease. In the United States, our lead product has received FDA approval, making it the first and only FDA-approved ophthalmic formulation of its kind for the treatment of wet AMD, and we are preparing for US commercial launch. Our lead product is also the first ophthalmic formulation of its kind to receive Marketing Authorization from the European Commission and the UK MHRA for the treatment of wet age-related macular degeneration (wet AMD), and has launched across Germany, Austria, and the UK.

Driven by the stories of the patients we serve, we are united with the vision-care community around a single goal: a future where everyone with retinal disease can envision a brighter world.

Reports To – Sr. Director, Patient Access & National Field Reimbursement
Territory – MN, IA, MO, KS, NE, ND, SD
Location – Field-Based (U.S.) — territory travel required 50-70%
Employment Type – Full-time
Direct Reports – No

This is a rare ground-floor moment at a company hitting its commercial inflection point. As a lean, fast-moving organization, we offer scope and ownership that larger companies can’t: your work is visible, your decisions matter, and you’ll help build the function rather than simply maintain it. You’ll partner directly with senior leadership and see a clear line between what you do and patients gaining access to a new treatment option.

You’ll be the reimbursement and access expert retina and ophthalmology practices call first — building the trusted relationships and payer playbooks that set the field team up for a successful U.S. launch.

Customer Education & Reimbursement Support

• Serve as the primary field reimbursement resource for practice administrators, billing/coding staff, and clinical teams supporting our retina portfolio.
• Educate office staff on payer coverage policy, medical-benefit billing and coding (HCPCS/CPT/J-codes, ICD-10, modifiers), prior-authorization requirements, and clean-claim submission.
• Guide practices through the prior-authorization and appeals process, clarifying payer-specific requirements and documentation.
• Connect practices to patient-support resources when a case needs that level of help.

Account Management & Business Reviews

• Own a defined territory of retina/ophthalmology accounts and build the kind of trust that makes you the first call for a reimbursement problem.
• Lead quarterly business reviews, analyzing reimbursement performance and denial trends and leaving each account with a concrete plan to fix what isn’t working.
• Monitor accounts for early warning signs — rising denials, patients not being filled due to access friction — and get ahead of the problem with a targeted plan.
• Coordinate with Sales so every account gets one consistent, compliant message.

Claims & Payer Analysis

• Analyze account-level claims data to spot denial patterns, coding errors, and payer-specific quirks, and turn findings into plain-language guidance practices can act on.
• Track how commercial, Medicare, Medicare Advantage, and Medicaid plans are covering the territory’s products as policy shifts.
• Escalate systemic payer issues — a policy change, a recurring denial pattern — to Access & Reimbursement leadership with supporting data and a recommended next step.
• Support U.S. launch readiness by mapping the payer landscape and feeding access-strategy input to Market Access ahead of approval.

Cross-Functional Collaboration & Reporting

• Partner with the patient…