Field Reimbursement Manager, New England
About The Position
The Field Reimbursement Manager (FRM) is a customer-facing role serving as a trusted reimbursement and patient access resource for healthcare providers and office staff in the assigned New England territory. The FRM supports access to argenx therapies across medical and pharmacy benefit channels by providing reimbursement education, access support, patient services expertise, and account-specific access strategies. Engagements include live, in-person interactions and virtual meetings. The role requires strong knowledge of commercial and government payer policies, benefit design, prior authorizations, claims adjudication, appeals, billing and coding, specialty pharmacy processes, and site-of-care considerations. The FRM works with internal partners to address access barriers, manage complex reimbursement issues and escalations, and contribute customer insights and payer trends to business strategy. The position involves territory planning, CRM and data use, and extensive travel throughout the assigned geography. Candidates must reside in the New England area.
Requirements
- Bachelor's degree or equivalent experience.
- At least 5 years of reimbursement, patient access, market access, specialty pharmacy, or related healthcare experience.
- Expertise supporting therapies reimbursed under both medical and pharmacy benefits.
- Strong knowledge of Medicare, Medicaid, commercial insurance, prior authorizations, claims, appeals, and patient access pathways.
- Ability to build productive relationships with healthcare providers and office staff.
- Strong communication, presentation, organizational, problem-solving, and customer engagement skills.
- Ability to work independently and collaborate effectively across cross-functional teams.
- Demonstrated success in collaborative environments, using CRM systems, data analytics, and customer insights to inform account strategy and engagement.
- Willingness and ability to travel extensively throughout the assigned geography.
- Must reside in the New England area.
Nice To Haves
- Experience in neurology, immunology, rare disease, specialty biologics, or other complex specialty therapeutic areas.
- Knowledge of buy-and-bill and specialty pharmacy distribution models, infusion reimbursement, site-of-care optimization, and payer management strategies.
Responsibilities
- Serve as the primary reimbursement and patient access resource for healthcare providers and staff in the assigned territory, building relationships through in-person and virtual engagement.
- Educate customers on patient access, reimbursement, coverage policies, prior authorizations, claims, appeals, billing and coding considerations, specialty pharmacy processes, and patient support resources.
- Develop account-specific access strategies and guide providers through reimbursement challenges and access barriers in accordance with company policy.
- Manage complex reimbursement issues and escalations; share customer insights and payer trends to inform business strategy and improve provider and patient experience.
- Partner with Patient Services, Case Management, Market Head, Business Leader, Market Access, and other stakeholders to address access barriers and coordinate account strategies.
- Participate in case reviews, escalation management, and ongoing collaboration to support timely patient access and organizational learning.
- Develop and execute territory plans aligned with customer needs, business priorities, and access objectives.
- Use CRM tools, data analytics, and reporting to document activities, identify opportunities, track performance, and manage territory priorities and travel.
- Address patient access challenges with a proactive, solutions-oriented approach; navigate account dynamics and manage conflict constructively.
- Conduct activities in compliance with applicable laws, regulations, company policies, and argenx values.
- Travel extensively throughout the assigned geography.
Benefits
- Competitive salary package.
- Comprehensive benefits package, including retirement savings plans and health benefits.
- Eligibility to participate in short-term and long-term incentive programs, subject to plan terms and applicable policies.
- A work environment in a human-sized, dynamic, rapidly growing biotech company.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
