Field Reimbursement Manager

This is a fully remote position, open to applicants in United States.

📋 Description

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

• Cultivate dependable relationships through both face-to-face and virtual interactions.

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

• Formulate account-specific access strategies and assist providers in navigating reimbursement challenges.

• Address complicated reimbursement issues and manage escalations effectively.

• Share insights from customers and payer trends to shape business strategy.

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

• Engage in case reviews and manage escalations.

• Create and implement territory plans.

• Leverage 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 handle conflicts constructively.

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

⛳️ Requirements

• Bachelor's degree or equivalent professional experience.

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

• Expertise in supporting therapies reimbursed under both medical and pharmacy benefits.

• In-depth knowledge of Medicare, Medicaid, commercial insurance, prior authorizations, claims, appeals, and patient access pathways.

• Proven ability to establish productive relationships with healthcare providers and their office staff.

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

• Capability to work independently while collaborating across cross-functional teams.

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

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

• Proficient in utilizing CRM systems, data analytics, and customer insights.

• Willingness and ability to travel extensively throughout the assigned area.

• Candidate must reside in the West Atlanta region.

🏝️ Benefits

• Competitive salary package along with benefits.

• Short-term and long-term incentive programs.

• Retirement savings plans.

• Health benefits.

• Comprehensive benefits package.

• Inclusive work environment.

• Equal consideration for employment without discrimination.