Field Reimbursement Manager

Inizio Engage • Houston, TX

116d

About The Position

The Field Reimbursement Manager (“TAM”) will be responsible for educating healthcare providers (HCPs) and their staff on product-specific prior authorization and appeals processes, including how to access necessary forms and submission procedures. This role will also guide them through the referral process to the client’s HUB and highlight the additional support services available. The TAM will be required to collaborate with others partners to identify accounts that may benefit from further education. The Field Reimbursement Manager will be a key member of both the client and Inizio Engage Patient Solutions teams. This role reports to the Director, Field Reimbursement.

Requirements

• Bachelor’s degree or equivalent experience required.
• 3+ years of relevant experience in reimbursement and patient access.
• Strong knowledge and understanding of payer reimbursement models (medical and pharmacy), prior authorization and appeal requirements, coding changes, appropriate claim submission, integration of HUB and patient assistance programs.

Nice To Haves

• Buy and Bill experience preferred.
• Solid understanding of reimbursement issues that work within core classes of trade: Commercial Managed Care, Medicaid, Medicare, Veteran’s Administration, TRICARE, Specialty Pharmacy & Pharmacy Benefit Managers, ACOs and other Integrated Delivery Networks (IDNs).

Responsibilities

• Educate HCPs and appropriate office staff about product specific prior authorization & appeals process, how to access related forms, and high-level information about submission procedures and reauthorization requirements.
• Educate HCPs and appropriate office staff on the referral process to client’s HUB as well as additional support and resources available through the HUB.
• Work closely with other matrix partners to identify additional accounts with need for education.
• Maintain compliance with program business rules, standard operating procedures and guidelines.

Benefits

• Competitive compensation.
• Excellent Benefits – accrued time off, medical, dental, vision, 401k, disability & life insurance, paid maternity and paternity leave benefits, employee discounts/promotions.
• Recognition programs, contests, and company-wide awards.
• Exceptional, collaborative culture.
• Best Places to Work in BioPharma (2022, 2023, & 2024).
• Certified Great Place to Work (2022, 2023, 2025).

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees