US Field Reimbursement Manager, Rare Neurology, Hematology, & Nephrology (Wisconsin and Northern Illinois)
About The Position
The Field Reimbursement Manager (Rare Neurology, Hematology, & Nephrology) is a field-based, non-promotional role that helps minimize barriers to patient access for 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. Through education of healthcare provider offices, billing staff, and financial coordinators, the role helps navigate complex coverage landscapes so eligible patients can access therapy in a timely manner. This position reports directly to the Regional Field Reimbursement Director. The role is generally conducted in a field environment and requires maintaining general availability during standard business hours, including operational reporting while traveling. It involves travel of 60–75%, including overnight travel of up to four nights per week, and regional travel across large multi-state territories. The employee must reside within the assigned territory of Wisconsin or Northern Illinois; relocation assistance is not provided. The role includes driving to assigned targets using a company-provided fleet electric vehicle.
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 across medical and pharmacy benefit design, from prescription to infusion or injection.
- Experience with products requiring prior authorization and a clear understanding of related billing, coding, and in-office support.
- Demonstrated learning mindset and adaptability to changing conditions, with ownership and ability to drive actions.
- Excellent verbal, written, interpersonal communication, and presentation skills.
- Ability to communicate effectively with people at all levels, both inside and outside the company.
- Ability to confidently and expertly educate physicians and other healthcare professionals 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, CRM, Microsoft Word, Excel, PowerPoint, and Outlook; willingness to travel with equipment to coordinate daily with key partners on education and case work.
- Ability to travel to work-related meetings and functions, including overnight travel for up to four nights per week, and travel 60–75%.
- Ability to drive to assigned targets within the territory using a company-provided fleet electric vehicle.
- Valid driver’s license and clean driving record.
- Ability to travel regionally and cover large multi-state territories.
- Must reside in the assigned territory; relocation assistance is not provided.
Nice To Haves
- Rare disease experience.
- Understanding of top regional and national payers within the assigned geography.
- Experience launching a new specialty pharmaceutical or biologic product, or a new product indication.
- Neurology, hematology, and/or nephrology experience.
- Experience working through complex reimbursement issues.
- Experience working with billing and medical claim personnel in a healthcare setting.
- Prior Authorization Certification Specialist (PACS).
- Familiarity with applying AI tools and techniques to enhance efficiency.
- Residence within Wisconsin or Northern Illinois.
Responsibilities
- Partner with Alexion cross-functional teams 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 medical and pharmacy benefit design, product acquisition, payer policies and coverage criteria, prior authorizations, denials, appeals, peer-to-peer education, and other access 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 healthcare provider 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 on customer interactions, account plans, healthcare provider 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 in accordance with the company’s Code of Ethics and Business Conduct.
Benefits
- Eligibility for short-term incentive bonuses.
- Equity-based awards for salaried roles.
- Qualified retirement programs.
- Paid time off, including vacation, holidays, and leaves.
- Health coverage.
- Dental coverage.
- Vision coverage.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
