Manager of Reimbursement

Gifthealth•Columbus, OH

2d•Remote

About The Position

We are seeking a Manager of Reimbursement to lead and manage day-to-day reimbursement operations, including oversight of a team of three Lead Reimbursement Analysts. This position plays a key role in supporting the Reimbursement and Revenue Cycle function, ensuring alignment with organizational goals, operational excellence, and compliance standards. Each Lead Reimbursement Analyst manages their own team of Reimbursement Analysts, so this role provides leadership through the Leads, sets direction across the broader reimbursement function, and serves as the escalation point for issues beyond the Leads' scope, spanning benefit investigations, prior authorizations, appeals, and patient assistance programs within Gifthealth's hub services and specialty pharmacy programs. This is a fully remote, desk-based role with frequent phone and computer use.

Requirements

Bachelor's degree in Healthcare Administration, Business, Finance, or a related field, or equivalent experience
Pharmacy Tech Trainee license required.
6+ years of experience in healthcare reimbursement, specialty pharmacy, hub services, or patient support programs
3+ years managing people leaders (e.g., leads, supervisors, or managers)
Strong knowledge of payer reimbursement methodologies, benefit investigations, prior authorizations, appeals, denials management, and patient assistance programs within a specialty pharmacy or hub services environment
Experience with reimbursement, CRM, and telephony systems
Advanced proficiency in Excel and reporting tools
Proven ability to lead and develop people leaders, and to drive performance across distributed, fully remote teams
Strong understanding of healthcare reimbursement, payer policy, and revenue cycle management.
Excellent leadership, communication, and data-driven decision-making skills

Nice To Haves

Detail-oriented and highly organized, with strong analytical and problem-solving skills
A collaborative, coaching-oriented leadership style
Comfortable operating in a fast-paced, evolving healthcare environment, and skilled at building team culture and engagement in a fully remote setting

Responsibilities

Direct and oversee reimbursement operations across the team, including benefit investigations, prior authorizations, appeals, denials management, and patient assistance programs, to maximize timely and accurate reimbursement
Directly manage and mentor three Lead Reimbursement Analysts, setting priorities, monitoring team performance, and supporting their professional development
Serve as the final point of escalation for reimbursement cases and operational issues that exceed the scope or authority of the Lead Reimbursement Analysts
Monitor reimbursement KPIs (e.g., days sales outstanding, denial rates, collection rates) and develop action plans to address performance gaps
Ensure compliance with payer contracts, coding guidelines, and applicable state and federal reimbursement regulations
Partner cross-functionally with Finance, Billing, Coding, and Payer Relations to identify and resolve reimbursement barriers
Prepare and present regular reimbursement performance reports and forecasts to senior leadership