Field Reimbursement Manager, Philly

argenx • Philadelphia, PA

8d • Remote

About The Position

The Field Reimbursement Manager (FRM) serves as a trusted, customer-facing partner to healthcare providers and office staff, helping optimize patient access to argenx therapies across medical and pharmacy benefit channels. The FRM delivers reimbursement education, access support, and patient services expertise while navigating the evolving payer landscape. The position supports providers through live, in-person and virtual interactions and develops account-specific access strategies.

The role requires knowledge of commercial and government payer policies, benefit design, prior authorizations, claims adjudication, appeals, and site-of-care considerations. The FRM works closely with Patient Support Services, Regional Account Directors, Distribution, Market Head, Business Leader, Market Access, and other internal stakeholders to address access barriers and provide a consistent customer experience. The role is based in the Philadelphia, Pennsylvania area and requires extensive travel throughout the assigned geography.

Requirements

• Bachelor's degree or equivalent experience.
• At least 5 years of reimbursement, patient access, market access, specialty pharmacy, or related healthcare experience.
• Expertise supporting therapies reimbursed under both medical and pharmacy benefits.
• Strong knowledge of Medicare, Medicaid, commercial insurance, prior authorizations, claims, appeals, and patient access pathways.
• Ability to build productive relationships with healthcare providers and office staff.
• Strong communication, presentation, organizational, problem-solving, and customer engagement skills.
• Ability to work independently and collaborate across cross-functional teams to drive patient access solutions and business objectives.
• Demonstrated success in collaborative environments, using CRM systems, data analytics, and customer insights to inform account strategy and engagement.
• Willingness and ability to travel extensively throughout the assigned geography.
• Must reside in the Philadelphia, Pennsylvania area.

Nice To Haves

• Experience in neurology, immunology, rare disease, specialty biologics, or other complex specialty therapeutic areas.
• Knowledge of buy-and-bill and specialty pharmacy distribution models, infusion reimbursement, site-of-care optimization, and payer management strategies.

Responsibilities

• Serve as the primary reimbursement and patient access resource for healthcare providers and staff in the assigned territory, building relationships through in-person and virtual engagement.
• Educate customers on patient access, reimbursement, coverage policies, prior authorizations, claims, appeals, billing and coding considerations, specialty pharmacy processes, and patient support resources.
• Develop account-specific access strategies and guide providers through reimbursement challenges and access barriers in accordance with company policy.
• Manage complex reimbursement issues and escalations; share customer insights and payer trends to inform business strategy and improve the provider and patient experience.
• Collaborate with Patient Services, Case Management, Market Head, Business Leader, Market Access, and other stakeholders to address access barriers and coordinate account strategies.
• Participate in case reviews, escalation management, and ongoing collaboration to support timely patient access and organizational learning.
• Develop and execute territory plans aligned with customer needs, business priorities, and access objectives.
• Use CRM tools, data analytics, and reporting to document activities, identify opportunities, track performance, and manage territory priorities and travel.
• Take a proactive, solutions-oriented approach to patient access challenges; navigate account dynamics, manage conflict constructively, and collaborate to achieve positive outcomes.
• Conduct all activities in compliance with applicable laws, regulations, company policies, and argenx values.

Benefits

• Competitive salary package with benefits.
• Comprehensive benefits package, including retirement savings plans and health benefits.
• Eligible to participate in short-term and long-term incentive programs, subject to plan terms and applicable policies.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level