Field Reimbursement Manager - Central Region

Position Summary The Field Reimbursement Manager (FRM) serves as the subject-matter expert on reimbursement, access, and coverage issues for our products, primarily focusing on Nephrology and potentially other therapeutic areas. This role operates as a crucial liaison between healthcare providers (HCPs), internal teams, and external stakeholders to facilitate appropriate patient access to our products. Key Responsibilities + Educate HCPs and their staff on matters related to access, coverage, reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide product access expertise to healthcare offices + Coordinate with Hubs on individual patient cases, including patient support services and enrollment + Collaborate with Field Sales, Specialty Pharmacy Accounts, and other matrix partners + Manage daily field-based activities, spending 60-70% of time interacting with key stakeholders across various care sites + Execute collaborative territory plans through partnerships with internal and external stakeholders + Review and educate offices on payer policies, including prior authorization requirements + Provide feedback to internal teams on local payer trends and access issues + Assist in resolving patient-specific coverage challenges when requested by healthcare providers Qualifications Required + Minimum 5 years of pharmaceutical industry experience, with focus on payer policy and reimbursement + At least 3 years of experience in benefit verifications, prior-authorization requirements, or equivalent experience in patient access, billing, and coding in rare disease + Strong knowledge of Centers for Medicare & Medicaid Services (CMS) policies and processes, especially Medicare Part D + Experience in

Created: 2025-06-14