Field Reimbursement Manager (FRM),Texoma Ecosystem

Roche • South San Francisco, CA

10d • $153,800 - $285,600 • Onsite

About The Position

The Field Reimbursement Manager (FRM) is a patient access champion within Genentech’s localized ecosystem model. The role focuses on dismantling complex reimbursement barriers so patients can access Genentech therapies without delay. The manager navigates coverage frameworks across the company’s portfolio, consults with health system administrators and practice leaders, and supports internal multidisciplinary teams in optimizing patient access journeys.

This is a field-based role covering the Texoma ecosystem. Candidates must live within the ecosystem; relocation benefits are not available. Overnight travel may be required. Significant driving in a company-provided or personal vehicle and prolonged sitting are essential duties. Genentech may check the employee’s motor vehicle record to determine eligibility to drive on company business.

The expected salary range for the primary Texoma location is $153,800 to $285,600. Actual pay depends on experience, qualifications, geographic location, and other job-related factors permitted by law. The role is eligible for incentive compensation under the applicable plan and qualifies for benefits detailed through a link in the posting.

Requirements

• Bachelor’s degree or higher.
• At least 8 years of experience in the healthcare, pharmaceutical, biotechnology, or life sciences industry.
• At least 5 years of experience with managed care, public and private payer frameworks, and reimbursement mechanics in pharmaceutical or biotechnology, large-scale clinical practice management, or hospital or specialty clinic pharmacy administration directly involving managed care and reimbursement at scale.
• Experience handling prior authorizations, formularies, and payer negotiations.
• Demonstrated expertise in billing environments, Buy-and-Bill distribution, specialty pharmacy fulfillment, and practice management operations.
• Must live within the Texoma ecosystem.
• Ability to undertake significant driving and prolonged sitting as essential duties; overnight travel may be required.

Nice To Haves

• MBA, MHA, or a related advanced graduate degree.
• Multi-therapeutic or broad specialty portfolio management experience across complex disease states such as oncology, immunology, ophthalmology, or rare disease.
• Commercial cross-functional experience in field sales, market access marketing, account management, or patient access solutions.
• Track record of designing, implementing, and exceeding measurable business plans and customer access objectives.
• Advanced familiarity with Medicare Part B and D, commercial payer medical policies, state Medicaid programs, and 340B dynamics.
• Established record of peer mentorship, knowledge sharing, and field leadership within a matrixed team.

Responsibilities

• Partner with healthcare decision-makers, billing managers, and practice leaders to eliminate operational bottlenecks, clarify payer coverage criteria, and streamline reimbursement pathways.
• Resolve complex, non-standard patient access cases using knowledge of public and private payer policies, prior authorization protocols, step therapy, and appeals.
• Communicate real-time changes in local payer practices between field ecosystem teams and Home Office functions, including Access Solutions, Commercial, and Government Affairs.
• Develop and implement educational frameworks to help ecosystem partners, including Therapeutic Area Managers and case managers, navigate simple to moderately complex access challenges.
• Execute localized ecosystem business plans to expand health equity, address systemic access disparities for underserved communities, and achieve measurable access milestones.
• Share best practices and collaborative insights through the national Reimbursement Community of Practice to evolve access strategies.
• Ensure customer engagements comply with Promotional Review Committee approvals and regulatory guidelines.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior