Field Reimbursement Manager, Spring Field MO
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 territory. The FRM supports patient access to argenx therapies across medical and pharmacy benefits by providing reimbursement education, access support, and patient services expertise while navigating changing payer requirements. The candidate must reside in the Springfield, Missouri area. The role involves engaging customers through in-person and virtual interactions, developing account-specific access strategies, and advising providers on payer policies, benefit design, prior authorizations, claims adjudication, appeals, billing and coding, specialty pharmacy processes, and site-of-care considerations. The FRM manages complex reimbursement issues and escalations and shares customer insights and payer trends to inform business strategy. The FRM works closely with Patient Support Services, Case Management, Regional Account Directors, Distribution, Market Head, Business Leader, Market Access, and other internal stakeholders. The role also includes territory planning and management, use of CRM tools and data analytics, extensive travel throughout the assigned geography, and compliance with applicable laws, regulations, company policies, and argenx values.
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, including 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 to drive patient access solutions and business objectives.
- Willingness and ability to travel extensively throughout the assigned geography.
- Must reside in the Springfield, MO 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.
- Demonstrated success in highly collaborative environments using CRM systems, data analytics, and customer insights to inform account strategy and engagement.
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 professionally and promptly, and share customer insights and payer trends to inform business strategy.
- 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 proactively and with a solutions-oriented approach.
- Navigate complex account dynamics, manage conflict constructively, and collaborate to achieve positive outcomes for patients, providers, and the organization.
- Conduct all activities in compliance with applicable laws, regulations, company policies, and argenx values.
Benefits
- Competitive salary package with benefits.
- Comprehensive benefits package, including retirement savings plans and health benefits.
- Eligibility to participate in short-term and long-term incentive programs, subject to applicable plan terms and policies.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
