Field Reimbursement Manager (FRM) – Key Responsibilities Serve as a compliant SME for reimbursement, access, and specialty distribution in assigned geography. Educate HCP offices on coverage status, prior authorization, appeals, and alternate funding for uninsured/underinsured patients. Build relationships with HCPs, office staff, and health system stakeholders. Analyze regional/local payer coverage trends, reimbursement criteria, and payer mix. Advise on specialty pharmacy services and complex distribution navigation. Partner with Patient Support on benefit investigations and patient onboarding. Collaborate with internal teams to develop local access strategies. Develop and execute territory-level business plans using customer insights. Resolve reimbursement issues in the field and elevate cases as needed. Identify process improvements to improve patient access and provider satisfaction. Maintain compliance with legal/regulatory/company policies (including privacy and promotional conduct). Requirements / Qualifications Bachelor’s degree in an allied health field (preferred) or equivalent experience. 8+ years in pharmaceutical/biotech/related healthcare. Required reimbursement experience: prior authorizations and navigating the US payer landscape. 3–6 years supporting Specialty Pharmaceuticals/Biologics. Deep knowledge of reimbursement/access/specialty pharmacy operations; specialty distribution models and patient services programs. Experience supporting product launches and/or insurance approval processes. Knowledge of HIPAA and other federal/state confidentiality and healthcare communications laws. Bilingual (English/Spanish) highly desired. Proven track record with complex therapies in rare/specialty conditions. Exceptional communication/interpersonal skills; build trust; manage multiple cases; problem-solve in real time. Digital fluency with CRM platforms and technology-enabled patient support tools (including AI). Benefits (as listed) 401(k) with company match; comprehensive medical/dental/vision; company-paid Life/AD&D; company-paid short/long-term disability; EAP; HSA/FSA; paid parental leave; performance-based incentives; plus other listed supplemental plans (pet/legal; accident/critical illness/hospital indemnity). #J-18808-Ljbffr
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