Field Reimbursement Manager, Market Access – Mid-Atlantic Region

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

📋 Description

• Act as a subject matter expert in access and reimbursement, engaging directly with customers across the Pharmaceutical Diagnostic portfolio.

• Offer education, facilitate integration with support centers, and resolve patient-level issues.

• Design and present onboarding and in-service sessions, both in-person and virtually, for new and existing client accounts.

• Inform prescribers, office personnel, imagers, radiologists, and nuclear medicine specialists about payer coverage policies, reimbursement procedures, patient services, and benefit investigations.

• Address general and patient-specific access and reimbursement obstacles by utilizing both internal and external resources.

• Create access and reimbursement tools and guides that encompass product coverage, claims processing, prior authorizations, and appeals.

• Maintain communication with Market Access Account Executives and Sales teams to share field intelligence and prioritize essential accounts.

• Participate in conferences to advocate for GE HealthCare Patient Support Services.

• Report directly to the Senior Director of Patient Services.

• Cover the Mid-Atlantic region, which requires up to 40% travel.

⛳️ Requirements

• A Bachelor’s degree or an equivalent qualification.

• At least 5 years of experience in the US healthcare medical device or pharmaceutical industry.

• A minimum of 3 years of experience as a US Field Reimbursement Manager.

• Proficient understanding of medical benefit reimbursement and payment mechanisms, including medical coding, claims, and billing processes.

• Extensive knowledge of Government (Medicare/Medicaid, etc.) and Commercial coverage/reimbursement dynamics.

• Familiarity with reimbursement processes, regulations, and account-based planning in provider offices and hospital outpatient departments.

• Knowledge of the radiology authorization process, including HCPCS, CPT, and ICD-10 codes and their related regulations.

• Experience in working with a HUB or reimbursement call center.

• Capability to foster close collaboration with strategic partners and colleagues, leading joint initiatives.

• Strong problem-solving and decision-making abilities, with a knack for thinking on your feet and proposing alternatives and solutions.

• A strong customer-oriented approach with the ability to cultivate relationships, identify and address access challenges, and manage complex projects.

• Competence to operate independently and effectively as a leader within a matrix environment.

• Highly organized and strategic thinker with exceptional verbal and written presentation skills.

• Willingness to travel to engage with customers and field sales teams.

• Proven proficiency with CRM systems, PowerPoint, Excel, and Word.

• Must reside within the Mid-Atlantic Region territory.

• Must possess legal authorization to work in the United States.

• Certified Professional Coding Certification is preferred.

• Desired experience in radiopharmaceuticals, imaging, or diagnostics.

• Experience with product launches is preferred.

• No employment visa sponsorship available.

🏝️ Benefits

• Medical, dental, and vision insurance.

• Paid time off.

• 401(k) plan with options for employee and company contributions.

• Life, disability, and accident insurance.

• Tuition reimbursement.

• Opportunities for professional development.

• Competitive salary.

• Performance-based incentive compensation, which may include cash bonuses and/or long-term incentives (LTI).

• Relocation assistance is not provided.