Field Reimbursement Manager Central Region Market Access

GE Healthcare

395d

About The Position

The Field Reimbursement Manager (FRM) is a customer-facing expert in access and reimbursement, responsible for providing education and support across the Pharmaceutical Diagnostic (PDx) portfolio. This role involves resolving patient-level issues and enhancing procedural efficiency in determining benefits and reimbursement. The FRM collaborates with various partners to deliver solutions and is expected to be self-directed, proficient in identifying reimbursement issues, and capable of creating supporting documentation.

Requirements

• Bachelor's degree or equivalent.
• Minimum of 5 years' experience in the US healthcare medical device or pharmaceutical sector.
• Minimum of 3 years' experience as a Field Reimbursement Manager in the US.
• Knowledge of medical benefit reimbursement and payment mechanisms, including medical coding and claims processes.
• Comprehensive knowledge of Government (Medicare/Medicaid) and Commercial coverage dynamics.
• Familiarity with provider office and hospital outpatient department reimbursement regulations.
• Knowledge of the radiology authorization process and associated regulations.
• Experience working with HUB or reimbursement call centers.
• Strong problem-solving and decision-making skills.
• Ability to build relationships and manage complex projects.
• Highly organized with excellent verbal and written presentation skills.
• Competence with CRM systems, PowerPoint, Excel, and Word.

Nice To Haves

• Certified Professional Coding Certification.
• Experience in radiopharmaceuticals, imaging, or diagnostics.
• Product launch experience.

Responsibilities

• Serve as the subject matter expert on reimbursement support programs and payer claim processes.
• Develop and conduct onboarding and in-service presentations for customer accounts.
• Educate customers about the PDx portfolio's payer coverage policies and reimbursement processes.
• Act as the primary contact for resolving access and reimbursement challenges.
• Create and disseminate Access & Reimbursement tools and guides related to product coverage and claims processing.
• Maintain communication with Market Access Account Executives and Sales to provide field intelligence.
• Attend conferences to promote GEHC's Patient Support Services.

Benefits

• Professional development opportunities.
• Challenging career paths.
• Competitive compensation.

What This Job Offers

• Job Type: Full-time
• Industry: Chemical Manufacturing
• Education Level: Bachelor's degree