Field Reimbursement Manager (Rare Endocrinology Rare Tumor), TN, KY, AL, MS, AR, LA, NC)

AstraZeneca•Nashville, TN

About The Position

The Field Reimbursement Manager (Rare Endocrinology Rare Tumor) is a field-based, non-promotional role supporting patient access to a 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. The role educates healthcare provider offices, billing staff, and financial coordinators to help them navigate complex coverage landscapes and support timely access to therapy for eligible patients. The position reports directly to the Field Reimbursement Director and covers Tennessee, Kentucky, Alabama, Mississippi, Arkansas, Louisiana, and North Carolina. The role involves collaborating with cross-functional partners on account and territory planning, developing and executing strategic plans, educating customers on reimbursement and access processes, supporting HCP education on reimbursement-related case needs, and sharing field insights about payer policies and access barriers. The manager maintains accurate documentation and operational reporting in CRM and other approved systems, and conducts activities in compliance with applicable laws, company policies, and ethical standards. Duties are generally performed in a field environment. The employee must be able to travel by public transportation, automobile, train, or plane; work comfortably in a clinical setting; use a computer and communicate by phone, video, and electronic messaging; collaborate and problem-solve; and maintain general availability during standard business hours. The role requires travel of 50–75%, including overnight travel of up to three nights per week, and driving to assigned targets in a company-provided fleet electric vehicle. Applicants must reside in the assigned territory; relocation assistance is not provided.

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 Rx-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 direction, 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, 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 to travel by public transportation, automobile, train, or plane; work comfortably in a clinical setting; use a computer; communicate via phone, video, and electronic messaging; problem-solve; collaborate; and maintain general availability during standard business hours.
Ability to travel 50–75%, including overnight travel for up to three nights per week, and cover a large multi-state territory.
Ability to drive to assigned targets using a company-provided fleet electric vehicle.
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 in the assigned geography.
Experience launching a new specialty pharmaceutical/biologic product or 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.
Reside within 30 miles of Nashville, Birmingham, or Louisville.

Responsibilities

Partner with Alexion cross-functional partners on account and territory planning and strategy, including routine documentation and presentation of plans.
Serve as a subject matter expert on reimbursement and the regional access landscape, including benefit design, product acquisition, payer policies and coverage criteria, prior authorization, 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 available 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 HCP education on reimbursement issues.
Identify, document, and communicate field insights about payer policy shifts, access barriers, denial trends, operational challenges, and customer education needs.
Collaborate with cross-functional partners to share insights and coordinate activities, and attend internal and company meetings as requested.
Maintain accurate documentation and operational reporting related to customer interactions, account plans, HCP 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.
Travel to work-related meetings and functions, travel overnight for up to three nights per week, and drive to assigned targets within the territory.