Field Reimbursement Manager

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

📋 Description

• Oversee daily field activities to ensure appropriate patient access in major neurology centers and provider offices.

• Implement collaborative territory strategies with both internal and external partners, including HUB/call center services, sales, market access, and additional allies.

• Engage in field interactions 60–70% of the time with stakeholders at physician practices, hospitals, and other care locations.

• Provide education to healthcare provider staff regarding approved patient access services.

• Work in conjunction with internal field teams to deliver educational support in the designated geography.

• Analyze and inform offices about payer policies, particularly focusing on prior authorization requirements.

• Review patient-specific data when sites request assistance in resolving coverage challenges.

• Relay feedback to internal teams concerning local payer trends and access concerns.

• Carry out additional tasks as necessary.

⛳️ Requirements

• A Bachelor’s degree is mandatory.

• At least 5 years of experience in the pharmaceutical industry, specifically in payer policy and reimbursement.

• A minimum of 3 years of experience in benefit verification and prior authorization requirements, or equivalent experience in patient access, billing, and coding.

• Experience in rare diseases is preferred.

• Familiarity with the policies and processes of the Centers for Medicare & Medicaid Services (CMS).

• Experience with Medicare Part D is required.

• Demonstrated self-direction along with robust organizational skills.

• Exceptional interpersonal skills, a consultative approach, and a customer-focused orientation.

• Proven capability to develop and maintain strong working relationships with both internal and external stakeholders.

• Strong communication skills, both oral and written, along with training/presentation abilities.

• Proficiency in MS Office is essential.

• Willingness to travel domestically up to 60–70% of the time.

• A valid driver’s license is necessary for travel to healthcare provider locations.

🏝️ Benefits

• Competitive salary.

• Paid time off.

• Company-sponsored holidays.

• Comprehensive training programs.

• Opportunities for employee development.

• 401K plan with employer matching contributions.

• Medical insurance coverage.

• Dental insurance options.

• Vision insurance plans.

• Extensive employer benefits and additional valuable programs.

• Reasonable accommodations provided during the hiring process.