Field Reimbursement Manager (FRM),Texoma Ecosystem
About The Position
The Field Reimbursement Manager (FRM) is a patient access champion within Genentech’s localized ecosystem model. The role focuses on removing complex reimbursement barriers so patients can access Genentech therapies, navigating coverage frameworks, advising health system administrators and practice leaders, and helping internal teams optimize patient access journeys. This field-based position covers the Texoma ecosystem. Candidates must live within the ecosystem, and relocation benefits are not available. Overnight travel may be required. The job involves significant driving in a company-provided or personal vehicle and prolonged periods of sitting. The expected salary range for the primary location of Texoma is $153,800 to $285,600, with incentive compensation eligibility. The position also qualifies for the benefits referenced by the employer.
Requirements
- Bachelor’s degree at minimum.
- At least 8 years of experience in healthcare, pharmaceutical, biotechnology, or life sciences.
- At least 5 years of experience with managed care, public and private payer frameworks, and reimbursement mechanics in pharma/biotech, large-scale clinical practice management, or hospital/specialty clinic pharmacy administration directly involving managed care and reimbursement at scale.
- Experience handling prior authorizations, formularies, and payer negotiations.
- Demonstrated expertise in billing environments, Buy-and-Bill distribution, specialty pharmacy fulfillment, and practice management operations.
- Must live within the Texoma ecosystem.
- Ability to undertake significant driving and prolonged periods of sitting as part of the role.
Nice To Haves
- MBA, MHA, or a related advanced graduate degree.
- Multi-therapeutic or broad specialty portfolio management experience across complex disease states such as oncology, immunology, ophthalmology, or rare disease.
- Commercial cross-functional experience in field sales, market access marketing, account management, or patient access solutions.
- A proven record of designing and implementing business plans and exceeding quantifiable business and customer access objectives.
- Advanced familiarity with Medicare Part B/D, commercial payer medical policies, state Medicaid programs, and 340B dynamics.
- A record of peer mentorship, knowledge sharing, and field leadership within a matrixed team.
Responsibilities
- Partner with healthcare decision-makers, billing managers, and practice leaders to eliminate operational bottlenecks, clarify payer coverage criteria, and streamline reimbursement pathways.
- Resolve complex, non-standard patient access cases using knowledge of public and private payer policies, prior authorizations, step therapy, and appeals.
- Communicate local payer-practice changes between field ecosystem teams and Home Office functions, including Access Solutions, Commercial, and Government Affairs.
- Develop and implement educational frameworks to help ecosystem partners, including Therapeutic Area Managers and case managers, navigate simple to moderately complex access challenges.
- Execute localized ecosystem business plans that expand health equity, address systemic access disparities for underserved communities, and achieve measurable access milestones.
- Share best practices and collaborative insights through the national Reimbursement Community of Practice.
- Ensure customer engagements comply with Promotional Review Committee approvals and applicable compliance guidelines.
Benefits
- Incentive compensation eligibility.
- Benefits are referenced by the employer through an external link; specific benefits are not listed in the posting.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
