Field Reimbursement Specialist

Cencora • USA > PA > Remote, PA

1d • $94,500 - $148,060

About The Position

The Field Reimbursement Specialist (FRS) serves as a subject-matter expert on reimbursement, access, and coverage issues, helping patients access specialty medications by educating healthcare providers and office staff about complex insurance and reimbursement processes and resolving access barriers. The FRS acts as a liaison between providers, manufacturers, pharmacies, and payers, and provides education specific to a specialty medication. Expertise in pharmacy benefit reimbursement, prior authorizations, appeals, and specialty pharmacies is essential because the supported medication is typically covered under pharmacy benefits.

This is a national position. Candidates must live within a reasonable commuting distance of a major airport and be able to provide territory coverage as needed across the United States. The role requires weekly travel, potentially including overnight stays, to healthcare offices within a designated territory. The FRS uses expertise in coverage, patient assistance, and health policy to educate office staff and address access challenges.

Cencora describes its culture as inclusive and purpose-driven and offers compensation, benefits, and resources supporting team members’ wellness and development. The position is full-time, with a national-average salary range of $94,500–$148,060; the actual range may vary by locale.

Requirements

• High School Diploma or GED.
• Experience working in healthcare directly resolving pharmacy benefit access issues.
• Experience with extensive travel.
• Willingness to obtain a Prior Authorization Certified Specialist (PACS) certification within the first six months of employment.
• Ability to conduct field-based reimbursement and access support, education, and consultation for key account customers and cross-functional partners.
• Understanding of specialty pharmacy dynamics.
• Experience with revenue cycle, formulary, benefit investigations, prior authorization, coding, and appeals processes.
• Deep understanding of pharmacy benefits and policies.
• Strong time-management and planning skills.
• Proficiency in Microsoft Word, PowerPoint, Excel, and Outlook.
• Live within a reasonable commuting distance of a major airport and be able to provide territory coverage as needed across the United States.

Nice To Haves

• Bachelor’s degree or relevant practice management experience.
• Previous experience as a Field Reimbursement Manager or Specialist.

Responsibilities

• Educate healthcare providers and office staff on access and reimbursement topics using client-approved resources.
• Support appropriate patient access to the client’s products by resolving reimbursement and coverage challenges.
• Collaborate with other patient assistance and reimbursement support services offered by the client.
• Educate provider office staff and practice managers about insurance issues relevant to the supported product and communicate important coverage and payer policy changes within assigned territories.
• Educate provider office staff about payers’ coverage management strategies, including coding, billing, formulary, prior authorization, and appeal processes.
• Probe to understand office processes and identify root causes of access or reimbursement issues.
• Deliver interactive educational presentations at provider sites of service.
• Provide information on relevant reimbursement topics related to the client’s products, subject to client approval.
• Perform other related duties as assigned.

Benefits

• Medical, dental, and vision care.
• Benefits supporting physical, emotional, financial, and social wellness.
• Support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave.
• Training programs and professional development resources.
• Mentorship programs.
• Employee resource groups.
• Volunteer activities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED