Field Reimbursement Manager - Respiratory - Sioux Falls, SD
About The Position
The Field Reimbursement Manager (FRM) supports access to AstraZeneca respiratory biologics by minimizing reimbursement barriers for patients and providers. This field-based individual-contributor role owns a territory and works with physicians, accounts, and institutional customers to provide specialized reimbursement services. The FRM assesses complex reimbursement, access, and affordability challenges and recommends ethical, compliant, and customer-oriented solutions. The role partners with internal teams including Market Access, Managed Markets, Access Services, Key Accounts, Trade and Channel, Sales, and Marketing. The FRM communicates payer criteria, terms, and practices related to assigned products and maintains expertise in managed care, reimbursement mechanisms, regulatory influences, health management programs, utilization management, and treatment and reimbursement guidelines. The role also involves identifying emerging issues, coordinating resources and resolutions, preparing provider communications, analyzing performance metrics, and maintaining a detailed territory plan. Travel of at least 50–75%, including overnight travel, is required.
Requirements
- Bachelor’s degree.
- At least 5 years of total business experience in the healthcare or pharmaceutical/biotech industry.
- At least 2 years of sales, managed-care, or reimbursement experience in the healthcare or pharmaceutical/biotech industry.
- Ability to travel at least 50–75%, including overnight travel.
Nice To Haves
- MBA or another related graduate-level degree.
- 8 or more years of biotech or pharmaceutical sales experience.
- 4 years of experience in the Respiratory Biologics therapeutic area.
- 2 years of Access Services, reimbursement, and/or Managed Markets experience.
- Significant documented experience with business planning and market analysis.
- At least 2 years of experience with buy-and-bill physician-administered specialty products.
Responsibilities
- Partner with the manager, peers, and internal Marketing, Sales, Managed Markets, and Trade groups to review and contribute to franchise and managed-care business plans, tactics, goals, and priorities.
- Identify trends and emerging issues, align resources to address them, and communicate resolutions to customers and the field in a timely manner.
- Maintain knowledge of managed-care and related managed-market benefit structures, reimbursement mechanisms, legal and regulatory influences, and health management programs.
- Access and influence key business decision makers.
- Maintain industry awareness and therapeutic-area knowledge, including utilization management techniques and treatment and reimbursement guidelines.
- Maintain performance metric analytics.
- Prepare and present provider-level communications.
- Maintain a comprehensive and detailed territory plan.
- Develop and execute ethical, customer-oriented reimbursement strategies.
- Remain accountable for compliance with applicable laws, regulations, and company policies.
Benefits
- Qualified retirement program (401(k) plan).
- Paid vacation and holidays.
- Paid leaves.
- Medical coverage.
- Prescription drug coverage.
- Dental coverage.
- Vision coverage.
- Short-term incentive bonus opportunity.
- Eligibility to participate in an equity-based long-term incentive program for salaried roles.
- Retirement contribution for hourly roles.
- Commission payment eligibility for sales roles.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
