About The Position

The Field Reimbursement Manager (Rare Endocrinology Rare Tumor) is a field-based, non-promotional role supporting patient access to the company’s rare disease portfolio. The manager serves as a local subject matter expert on reimbursement, billing, coding, and patient support programs for assigned indications and therapies. Through education for healthcare provider offices, billing staff, and financial coordinators, the role helps navigate coverage processes so eligible patients can access therapy in a timely manner. The position reports to the Field Reimbursement Director and covers Tennessee, Kentucky, Alabama, Mississippi, Arkansas, Louisiana, and North Carolina. The role involves frequent travel across a large, multi-state territory, including overnight travel for up to three nights per week and travel of 50–75%. The employee must reside in the assigned territory; relocation assistance is not provided. A company-provided fleet electric vehicle is available for driving to assigned targets. Duties are generally conducted in a field environment and may involve working in clinical settings, using a computer and communication tools, and maintaining general availability during standard business hours.

Requirements

  • Bachelor’s degree.
  • 5–7 years of experience in the healthcare and/or pharmaceutical/biotech industry.
  • At least 3 years of experience working with buy-and-bill and/or specialty pharmacy networks.
  • At least 3 years of field reimbursement experience.
  • Understanding of access processes, including medical and pharmacy benefit design and the prescription-to-infusion/injection process.
  • Experience with products requiring prior authorization and a clear understanding of related billing, coding, and in-office support.
  • Adaptability to changing conditions, a learning mindset, ownership, and ability to drive actions.
  • Excellent verbal, written, interpersonal, and presentation skills.
  • Ability to communicate effectively with people at all levels, both inside and outside the company.
  • Ability to educate physicians and other healthcare professionals confidently and expertly in an office procedural environment.
  • Strong cross-functional collaboration, business planning, rapport-building, and active-listening skills.
  • Problem-solving ability and a sense of urgency.
  • Experience working through complex reimbursement issues.
  • Experience working with billing and medical-claim personnel in a healthcare setting.
  • Experience working with integrated health systems.
  • Technical aptitude and working proficiency with an iPad, laptop, Microsoft Word, Excel, PowerPoint, and Outlook; willingness to travel with equipment and coordinate daily with key partners on education and case work.
  • Ability, with or without accommodation, to travel by public transportation, automobile, train, or plane; work comfortably in a clinical setting; use a computer; communicate by phone, video, and electronic messaging; problem-solve; engage in complex and non-linear thought, analysis, and dialogue; collaborate; maintain general availability during standard business hours; and complete operational reporting while traveling.
  • Ability to travel to work-related meetings and functions, including overnight travel for up to three nights per week; travel 50–75%; drive to assigned targets within the territory; and travel regionally across a large, multi-state territory.
  • Valid driver’s license and clean driving record.
  • Must reside in the assigned territory; relocation assistance is not provided.

Nice To Haves

  • Rare disease experience.
  • Understanding of top regional and national payers within the assigned geography.
  • Experience launching a new specialty pharmaceutical or biologic product, or a new product indication.
  • Endocrinology, metabolic, or bone-disorder experience.
  • Experience working through complex reimbursement issues.
  • Experience working with billing and medical-claim personnel in a healthcare setting.
  • PACS (Prior Authorization Certification Specialist).
  • Familiarity with applying AI tools and techniques to enhance efficiency.
  • Residence within 30 miles of Nashville, Birmingham, or Louisville.

Responsibilities

  • Partner with cross-functional colleagues on account and territory planning and strategy, including routine documentation and presentation of plans.
  • Serve as a subject matter expert on reimbursement and regional access, including benefit design, product acquisition, payer policies, coverage criteria, prior authorizations, denials, appeals, and peer-to-peer education.
  • Develop and execute strategic account and territory plans to increase customer knowledge of reimbursement and access processes, using resources, internal data, and field insights to prioritize activity and guide call objectives.
  • Collaborate with Alexion OneSource Patient Services on individual case-management needs related to healthcare provider education on reimbursement issues.
  • Identify, document, and communicate field insights about payer policy changes, access barriers, denial trends, operational challenges, and customer education needs.
  • Coordinate and share insights with cross-functional partners and attend internal and company meetings as requested.
  • Maintain accurate documentation and operational reporting on customer interactions, account plans, healthcare provider office education, and case-related activity in CRM and other approved systems.
  • Manage work in alignment with annual priorities, key performance indicators, territory objectives, project priorities, and approved budget parameters.
  • Comply with applicable laws, regulations, and company policies, and conduct work professionally and in accordance with the company’s Code of Ethics and Business Conduct.

Benefits

  • Company-provided fleet electric vehicle
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