Senior Field Reimbursement Manager – Liver

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

📋 Description

• Remain updated on local and national payer policies and acquisition strategies.

• Proactively tackle coverage and reimbursement issues to facilitate timely access to treatment.

• Collaborate with Therapeutic Specialists, Marketing, Patient Support, and other internal departments.

• Build and maintain relationships with providers, specialty pharmacies, and key account stakeholders.

• Act as a regional reimbursement authority and utilize influence mapping to engage essential customer accounts.

• Improve hub and field reimbursement manager processes, including benefit verification and prior authorization education.

• Communicate updates on formulary and reimbursement processes, and educate accounts regarding medical exceptions and prior authorization.

• Develop instructional materials for providers and office personnel on best practices for reimbursement.

• Enhance communication between Field Reimbursement Managers and HUB case managers.

• Identify bottlenecks in the patient journey and leverage technology tools to address high-need cases.

• Foster inclusion, develop talent, and empower teams as a people leader.

⛳️ Requirements

• Bachelor’s Degree with Eight Years’ Experience OR Master’s Degree with Six Years’ Experience OR Ph.D.

• Preferred BA/BS/RN with over 8 years of experience in a significant pharmaceutical company in field reimbursement, access, patient services, market access, account management, or a related team.

• Preferred MA/MS/PharmD with over 6 years of experience in a significant pharmaceutical company in field reimbursement, access, patient services, market access, account management, or a similar role.

• Significant prior experience in leadership, enterprise accounts, IDN/health system, or cross-functional account strategy is strongly preferred.

• Comprehensive understanding of payers, providers, health systems, specialty pharmacies, and pharmaceutical companies in terms of reimbursement and access.

• Experience managing large, intricate provider accounts, multi-location health systems, IDNs, national/regional accounts, and/or multi-state or multi-region accounts.

• Familiarity with pharmacy benefits, medical benefits, specialty payer landscape, reimbursement pathways, and acquisition models across commercial, Medicare, Medicaid, and other payer segments.

• Awareness of local, state, and national policy changes and their impact on reimbursement, coverage, acquisition, and account workflows.

• Experience collaborating with specialty pharmacies and HUB services.

• Ability to influence without formal authority, align matrixed stakeholders, and convert account barriers into scalable process enhancements.

• Strong executive presence and comfort in engaging with C-suite, pharmacy directors, revenue cycle leaders, implementation leaders, and system stakeholders.

• Willingness to travel 75% of the time within designated regions and strategic accounts.

• Must reside within 10 miles of the region’s borders.

• This is a field-based position requiring in-person meetings with key stakeholders.

🏝️ Benefits

• Equal employment opportunity and inclusive work environment.

• Reasonable accommodations for applicants with disabilities.

• An environment free from harassment and prohibited conduct.

• Diversity and inclusion initiatives.

• Employee development, coaching, and support for career advancement.