Job Description

The Field Reimbursement Manager (FRM) team helps healthcare providers navigate complex reimbursement and patient access challenges. Working closely with physician offices, specialty pharmacies, and manufacturer partners, the team delivers education, reimbursement support, and patient access solutions that improve the overall treatment experience. This is a highly visible, field-based role that combines reimbursement expertise, relationship management, provider education, and territory ownership. What You’ll Do Provide on-site and virtual education to physician offices on reimbursement processes, patient support services, and access programs. Educate healthcare providers and staff on benefit investigations, prior authorization requirements, Medicare and commercial payer coverage, and patient communication workflows. Serve as a reimbursement resource for providers by assisting with billing and coding questions, claims submissions, appeals, specialty pharmacy processes, and coverage interpretation. Support case management activities and collaborate with internal and external stakeholders to resolve reimbursement escalations and access barriers. Develop and maintain strong relationships with provider offices and manufacturer representatives while operating in a non-promotional capacity. Schedule and conduct territory visits, educational meetings, and training sessions to support customer needs and program objectives. Monitor territory performance, identify reimbursement trends, and provide activity reporting through CRM systems and client reporting processes. Maintain accurate provider account profiles, reimbursement databases, and documentation of all customer interactions. Manage multiple priorities across a large geographic territory while maintaining a high level of customer service and responsiveness. Travel extensively throughout the assigned territory to support customer engagement and education initiatives. Skills You’ll Need Bachelor's degree in a related field or equivalent combination of education and experience. Minimum 8 years of healthcare reimbursement experience. Strong knowledge of Medicare and commercial insurance plans, coverage structures, and reimbursement processes. Experience supporting benefit investigations, prior authorizations, claims management, appeals, and patient access programs. Experience working within physician practices, clinics, healthcare providers, specialty pharmacies, or reimbursement support programs. Experience supporting GLP-1 and cardiology products. Strong presentation, training, and provider education skills. Demonstrated customer-facing experience with the ability to build trusted relationships across multiple stakeholders. Excellent verbal, written, and interpersonal communication skills. Strong organizational, project management, and territory management abilities. Ability to manage multiple priorities in a fast-paced environment. Proficiency with CRM systems, Microsoft PowerPoint, and virtual meeting platforms. Ability to document reimbursement outcomes and provide regular status reporting. Authorization to work in the United States without current or future sponsorship. Preferred Skills Previous Field Reimbursement Manager experience. Prior field-based healthcare or pharmaceutical experience. Specialty pharmacy experience. Strong problem-solving and decision-making skills. Experience collaborating with cross-functional teams to resolve complex reimbursement challenges. Travel Requirements Must reside within the assigned territory. Ability to travel up to 80% of the time, including approximately four days per week in the field. Valid driver's license and acceptable driving record required. Working Conditions Remote/home-based position with extensive field travel. Frequent computer, telephone, and virtual meeting usage. Occasional extended periods of sitting, driving, and keyboard work. #J-18808-Ljbffr

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