Field Reimbursement Specialist Senior Manager - West - Phoenix, AZ

Military Spouse Corporate Career Network•Phoenix, AZ

1d•Onsite

About The Position

The Tezspire Field Reimbursement Regional Senior Manager leads a regional team of Field Reimbursement Managers and executes reimbursement strategy to support access to Tezspire within the Respiratory therapeutic area. The role builds and coaches a high-performing team, translates national and regional priorities into effective field execution, and fosters accountability, collaboration, inclusion, and positive momentum. The Senior Manager is accountable for team performance against field KPIs and service expectations, including personal and team field-time measures, and for delivering a consistent, compliant access experience for customers and patients. The role uses payer, account, market, competitive, channel, and performance insights to shape regional strategy, develop FRM capabilities, and address access barriers across Specialty Pharmacy and Buy & Bill channels. It leads regional planning, performance reviews, cross-functional collaboration, operational excellence, and talent development while ensuring compliance with business rules, policies, privacy requirements, and field reimbursement rules of engagement.

Requirements

Doctorate degree and 2 years of public or private third-party access arena or pharmaceutical industry experience in sales, managed care, or clinical support; or master's degree and 4 years; or bachelor's degree and 6 years; or associate's degree and 10 years; or high school diploma/GED and 12 years.
Five years of experience as a manager/first-line leader or demonstrated people leadership experience coaching, developing, motivating, and managing others' performance.
Three years of experience in the public or private third-party access arena or pharmaceutical/biotechnology industry in field reimbursement, managed care, market access, clinical support, or a related access role.
Expertise in Specialty Pharmacy (pharmacy benefit) and Buy & Bill (medical benefit) reimbursement, including prior authorization, appeals/denials, coding, billing, claims, benefit design, and patient support programs.
Strong understanding of commercial payer, Medicare, and Medicaid access and reimbursement dynamics, and ability to interpret payer policy and translate changes into field action.
Ability to lead and coach account management, business planning, and customer engagement within a field-based reimbursement organization.
Strategic planning, analytical reasoning, and fact-based decision-making skills, including interpreting quantitative and qualitative data, field KPIs, payer policy, account insights, and performance trends.
Ability to build team culture, establish expectations, create accountability, and manage individual and team performance.
Cross-functional leadership and collaboration skills, including ability to influence outcomes across a complex matrix organization.
Commitment to ethical, legal, and compliance standards and experience leading teams within established field reimbursement rules of engagement.
Presentation, facilitation, coaching, and communication skills for engaging field teams, customers, cross-functional partners, and senior leadership.
Organizational and project management skills, including managing multiple priorities, leading change, and ensuring timely follow-through.
Experience using CRM and performance-management tools to monitor field execution, identify trends, and support coaching and business decisions.
Experience in the healthcare industry, including physician offices/clinics, specialty pharmacy, HUB services, insurance verification, claim adjudication, or pharmaceutical/biotechnology manufacturers.

Nice To Haves

Bachelor's degree in business, healthcare, or a related field.
Previous experience leading a field reimbursement team supporting specialty pharmaceutical or biologic products and/or launching new products or indications.
Advanced experience with dual-benefit products and the operational differences between Specialty Pharmacy and physician-administered Buy & Bill channels.
Knowledge of Managed Care, Government and Federal payer sectors, Integrated Delivery Networks/Integrated Health Systems, and regional payer dynamics.
Advanced knowledge of medical insurance terminology, CMS policies and processes, reimbursement regulations, coding, coverage, and payment methodologies.
Experience developing talent, assessing readiness, building succession plans, and coaching leaders or future leaders.
Experience leading business reviews and using performance measures, market insights, and customer feedback to improve field execution and access experience.
Experience partnering with training, operations, HUB, technology, and other enabling functions to improve field capabilities and processes.

Responsibilities

Lead, coach, develop, and retain Field Reimbursement Managers through clear expectations, coaching, field observations, feedback, performance management, and development planning.
Build a team culture grounded in accountability, collaboration, inclusion, trust, and positive momentum; recognize strong performance and address challenges constructively.
Set performance expectations and hold the team accountable for field KPIs, service levels, customer engagement measures, and business objectives; use performance data to identify trends and execution gaps.
Meet Sr. Manager field-time and coaching expectations and maintain field presence to observe customer engagement, coach FRMs, assess market dynamics, and stay connected to the customer access experience.
Ensure excellent access experiences through reimbursement expertise, responsive customer engagement, issue resolution, follow-through, and compliant execution.
Develop and execute regional strategies that translate national access priorities into territory and account plans using payer, account, market, competitive, channel, and performance insights.
Coach FRMs in account management, analytical reasoning, fact-based decision-making, account and resource prioritization, account-specific access strategies, and adapting execution to market and performance insights.
Maintain expertise in Specialty Pharmacy and Buy & Bill reimbursement and develop team capability to support a dual-benefit product model.
Monitor payer dynamics, reimbursement policy, competitive landscape, channel trends, reimbursement economics, and stakeholder practices; translate relevant insights into regional strategy and execution.
Lead compliant cross-functional collaboration with Sales, Key Account Management, Market Access, Medical, HUB, Operations, Training, and other partners to align on access priorities and resolve barriers.
Lead regional business reviews and performance discussions incorporating field KPIs, account insights, payer trends, access barriers, and opportunities; establish actions and ensure follow-through.
Identify, escalate, and help resolve systemic access, reimbursement, process, or operational issues; communicate insights and recommendations to leadership and cross-functional partners.
Ensure team compliance with business rules, policies, procedures, privacy requirements, and field reimbursement rules of engagement through coaching, observations, virtual engagement, and performance management.
Partner with Training and Capability Development to identify skill gaps, support onboarding, reinforce reimbursement and account-management capabilities, and promote continuous development.
Drive regional operational excellence through planning, resource prioritization, expense management, CRM adoption, timely documentation, escalation management, and consistent processes.
Hire and onboard talent, create succession and development plans, and empower team members to grow, take ownership, and deliver results.
Influence across a complex matrix organization, building trusted relationships and aligning stakeholders around access priorities and customer needs.