Field Reimbursement Manager

This is a fully remote position, open to applicants in Kentucky, +1 more state.

📋 Description

• Act as the main resource for reimbursement and patient access for healthcare providers and staff within the designated territory.

• Establish trustworthy relationships through both in-person and virtual interactions.

• Provide education to customers regarding patient access, reimbursement, coverage policies, prior authorizations, claims, appeals, billing and coding, specialty pharmacy processes, and patient support resources.

• Create tailored access strategies for accounts and assist providers in overcoming reimbursement challenges.

• Handle intricate reimbursement issues and escalate as necessary.

• Relay customer insights and payer trends to help shape business strategy.

• Collaborate with Patient Services, Case Management, Market Head, Business Leader, Market Access, and other relevant stakeholders.

• Engage in case reviews, manage escalations, and foster ongoing collaboration.

• Design and implement territory plans.

• Employ CRM tools, data analytics, and reporting to document activities, identify opportunities, track performance, and manage territory priorities and travel.

• Tackle patient access challenges in a proactive manner.

• Navigate complex account dynamics and resolve conflicts in a constructive way.

• Conduct all activities in alignment with applicable laws, regulations, company policies, and argenx values.

⛳️ Requirements

• Candidate must be based in the Bluegrass West area.

• Bachelor's degree or equivalent experience required.

• 5+ years of experience in reimbursement, patient access, market access, specialty pharmacy, or a related healthcare field.

• Proficiency in supporting therapies covered under both medical and pharmacy benefits.

• Strong understanding of Medicare, Medicaid, commercial insurance, prior authorizations, claims, appeals, and patient access pathways.

• Capability to foster productive relationships with healthcare providers and office staff.

• Excellent communication, presentation, organizational, problem-solving, and customer engagement skills.

• Ability to work independently while also collaborating with cross-functional teams.

• Experience in neurology, immunology, rare diseases, specialty biologics, or other complex specialty therapeutic areas.

• Familiarity with buy-and-bill and specialty pharmacy distribution models, infusion reimbursement, site-of-care optimization, and payer management strategies.

• Experience with CRM systems, data analytics, and customer insights.

• Willingness and capacity to travel extensively within the assigned geography.

🏝️ Benefits

• A competitive salary package accompanied by benefits.

• Short-term and long-term incentive programs.

• Comprehensive benefits package.

• Retirement savings plans.

• Health benefits.