Senior Field Reimbursement Specialist

Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere. Apply todayJob DetailsUnder general supervision of a Senior Manager, the Sr Field Reimbursement Specialist (Regional FRM Lead) will plan and engage with customers, leveraging client approved resources, to educate on access and reimbursement topics relevant to assigned client's product. Track progress and evaluate results of assigned activities. Recommends changes in procedures. Lead or direct more complex projects or certain aspects of projects. Operates with reasonable latitude for un-reviewed action or decision, requiring minimum correction on final review of work product. The Sr FRS/Regional Lead will work within a matrix environment to collaborate with internal and external stakeholders to secure optimized patient access and provide appropriate education through a focused effort on healthcare providers in community, institutional, and academic medical settings.Manage daily activities that support appropriate patient access to our client's products in the provider offices and healthcare institutions, working as a liaison to other patient assistance and reimbursement support services offered by our clients.The scope and approach to the activities are defined by the client's legal and compliance departments and may vary.Activities may include, but are not limited to:Review patient insurance benefit options with appropriate authorizationsValidate prior authorization requirementsUnderstanding of Specialty Pharmacy processesEducate provider office staff and practice managers on coordination needed to support client product, including infrastructure needed to support in-office administration including buy and bill and monitoring of product, and important coverage and payer policy changes within assigned territories.Educate provider office staff with understanding the payers' coverage management strategies for product, including coding, billing, formulary, prior authorization, and appeal processes.Identify alternate funding/financial assistance programsAct as SME about coverage, specific product codes, including patient-specific access questions.Effective account management: uncovering customer insights through effective questioning; critical thinking and problem solving; disseminating data and information to partners.Review appropriate billing and coding for productsProbe to understand office processes and ability to discern root causes of access or reimbursement issuesDrive resolving reimbursement issues through an educational approachCollaborate with our client's patient services program representativesEducate physician office staff on the use of our client's patient assistance and support line reimbursement support services, including web-based provider programsDeliver interactive educational presentations at various provider sites of serviceProvide information on relevant reimbursement topics related to our client's products based on client's approvalCommunicate and collaborate with client cross-functional teams to include but not limited to sales representatives, account managers and district managers based on established rules of engagementPrioritize activities and abide by processes to maximize effective coverage of accounts and track progress while adhering to policies, procedures, and performance metricsLeverage reimbursement knowledge and utilize resources to aid accounts and effectively build customer partnershipsLead internal team training and meetingsServe as a peer

Created: 2026-01-26