Field Reimbursement Manager New England Region u2013 ...

Job Description Summary The Field Reimbursement Manager (FRM) is a customer-facing access & reimbursement subject matter expert who provides education, support center integration and patient level issue resolution across the Pharmaceutical Diagnostic (PDx) portfolio. Customers range from Prescribers to Radiologists and Nuclear Medics and their associated office staff. The FRM will create value through education, procedural efficiency through in supporting the determination of benefits and reimbursement and embedding GEHCu2019s world class support center within customersu2019 practices and/or health systems. The FRM will collaborate with cross functional partners to deliver expertise, knowledge, and solutions. The ideal candidate will need to be self-directed and proficient at identifying reimbursement issues, providing customer solutions. Experience in creating supporting reimbursement documentation like Reimbursement Guides, checklists, etc. is also required. The PDx business is the number one global supplier of contrast media and molecular imaging agents used to enhance medical imaging exams for major disease area diagnostic and treatment pathways. PDx products support three patients every second around the world. This position is field-based and will cover the New England region with travel up to 50% required. The preferred candidate will be local to the Boston area. This position will report to the Sr Director of Patient Services. Job Description Roles and Responsibilities u00b7 Will be subject matter expert on all reimbursement support programs, payer claim processes, and access issue resolution. u00b7 Develop & perform On-boarding & In-service presentations (in-person and virtual) with new and existing customer accounts. u00b7 Responsible for proactive customer (prescribers, office staff, imagers, etc.) education about the PDx portfoliou2019s Payer Coverage policies, reimbursement processes, patient services, and benefit investigation. u00b7 Primary point of contact responsible for resolving general and patient specific access and reimbursement challenges by leveraging the required internal and external resources. u00b7 Develop Access & Reimbursement tools and Guides and disseminate approved content related to product coverage, claims processing, prior authorizations, and appeals. u00b7 Maintain ongoing communication with the Market Access Account Executives and Sales to provide field intelligence and prioritize key accounts regarding account interactions. u00b7 Attend conferences to promote GEHCu2019s Patient Support Services. Required Qualifications u00b7 Bacheloru2019s degree or equivalent u00b7 Minimum of 5 yearsu2019 experience in the US healthcare medical device, or pharmaceutical sector. u00b7 Minimum of 3 yearsu2019 US FRM experience u00b7 Knowledge of and experience with medical benefit reimbursement and payment mechanisms including medical coding, claims and billing processes. u00b7 Comprehensive knowledge of Government (Medicare/Medicaid, etc.) & Commercial coverage/ reimbursement dynamics. u00b7 Familiarity with provider office and hospital outpatient department reimbursement, regulations, customers, and account-based planning. u00b7 Knowledge of the radiology authorization process including but not limited to understanding HCPCS, CPT, and ICD-10 codes and associated regulations. u00b7 Experience working with HUB or reimbursement call center. u00b7 Ability to establish close collaboration with strategic partners and peers and lead collaborative initiatives. u00b7 Problem solving and decision-making skills with the ability to u201cthink on feetu201d and suggest alternatives and solutions. u00b7 Strong customer focus with an ability to build relationships, identify and resolved (access) challenges, and manage complex project skills. u00b7 Ability to operate independently and successfully as a leader in a matrix environment. u00b7 Highly organized, strategic thinker with excellent verbal and written presentation skills. u00b7 Ability to travel to connect with customers, and field sales teams. u00b7 Demonstrated competence with CRM systems, PowerPoint, Excel & Word. Desired Characteristics u00b7 Certified Professional Coding Certification. u00b7 Experience in radiopharmaceuticals, imaging, or diagnostics. u00b7 Product launch experience. We will not sponsor individuals for employment visas, now or in the future, for this job opening.For U.S. based positions only, the pay range for this position is $132,000.00-$198,000.00 Annual. It is not typical for an individual to be hired at or near the top of the pay range and compensation decisions are dependent on the facts and circumstances of each case. The specific compensation offered to a candidate may be influenced by a variety of factors including skills, qualifications, experience and location. In addition, this position may also be eligible to earn performance based incentive compensation, which may include cash bonus(es) and/or long term incentives (LTI). GE HealthCare offers a competitive benefits package, including not but limited to medical, dental, vision, paid time off, a 401(k) plan with employee and company contribution opportunities, life, disability, and accident insurance, and tuition reimbursement. Additional Information GE HealthCare offers a great work environment, professional development, challenging careers, and competitive compensation. GE HealthCare is an Equal Opportunity Employer ( . Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law. GE HealthCare will only employ those who are legally authorized to work in the United States for this opening. Any offer of employment is conditioned upon the successful completion of a drug screen (as applicable). While GE HealthCare does not currently require U.S. employees to be vaccinated against COVID-19, some GE HealthCare customers have vaccination mandates that may apply to certain GE HealthCare employees. Relocation Assistance Provided: No

Created: 2026-04-04