Field Reimbursement Manager - California / Los Angeles or San Francisco

Recordati•Bridgewater, NJ

11d•Remote

About The Position

The Field Reimbursement Manager (FRM) manages accounts in a specified California region, focusing on but not limited to endocrinology. The role provides healthcare providers (HCPs) and office personnel with education about access and reimbursement, including medical policies, prior authorization requirements, coding and billing, and product access through buy-and-bill or specialty pharmacy. The goal is to minimize barriers to therapy. The FRM also provides general education and case-specific next steps for appeals following prior authorization denials. The position involves on-site work with HCPs to assess their access and reimbursement education needs and facilitate collaboration with stakeholders. It is remote, with proximity to a major airport, and requires approximately 30–40% need-based travel. The territory is California, with Los Angeles or San Francisco listed as locations.

Requirements

Bachelor’s degree.
Experience in a field-based role working with provider offices and/or patient support hub services.
Five to seven years of experience in the healthcare and/or pharmaceutical industry.
At least three years of successful field reimbursement experience.
At least two years of experience working with buy-and-bill and/or specialty pharmacy networks.
Ability to analyze and interpret regulations and legislation related to coding, coverage, and reimbursement.
In-depth knowledge of the U.S. pharmaceutical market, specifically rare diseases.
Reimbursement or relevant managed care experience, including buy-and-bill, prior authorization, coding, and appeals processes.
Problem-solving ability to navigate challenging access scenarios and identify timely, efficient solutions.
Comfort presenting in person or virtually to healthcare practitioner office staff.
Strong written and verbal communication skills and efficient follow-through.
Strong relationship-building skills and the ability to collaborate across functions.
Strong planning and organizational skills and demonstrated decision-making ability.
Reliable transportation within the territory, a valid driver’s license, and means of transportation.
Proficiency in Microsoft Office.
Demonstrated high ethical standards.
Ability to prioritize and multitask effectively.

Responsibilities

Partner with cross-functional teams on account and territory strategy to improve internal and external customer knowledge of payer policies and processes.
Serve as a subject matter expert on coverage, access, and reimbursement, providing compliant, limited support to U.S. healthcare providers and office staff navigating reimbursement for Recordati Rare Diseases products after the provider has independently decided to prescribe.
Collaborate with HCP staff and specialty pharmacies to follow up on accounts with outstanding prior authorization or appeals submissions.
Educate on reimbursement and regional access landscapes, including payer policies, prior authorization requirements, denials, appeals, peer-to-peer processes, and other access topics.
Collaborate with cross-functional teams on individual case-management needs related to HCP reimbursement education.
Collect field insights on payer trends, reimbursement challenges, and provider needs for internal stakeholders.
Use available resources, including internal data, to develop and execute account plans and call purposes.
Comply with laws, regulations, company policies, and the company’s Code of Ethics and Business Conduct.
Manage activities within the annual territory budget allocation.
Perform additional duties as assigned.