Job Description
Job Title: Field Reimbursement Manager (FRM) - Remote with Territory Travel
Location: Remote - Must reside on Long Island, NY
Travel: Up to 80% (4 days/week) via automobile or air
Position Overview
We are seeking a Field Reimbursement Manager (FRM) to support access and reimbursement services for a specialty pharmaceutical product. In this client-facing, remote-based role, you will work directly with physician offices and manufacturer partners to resolve reimbursement challenges and deliver critical education on payer landscapes and available support services. The FRM acts as a trusted advisor and key liaison between healthcare providers, specialty pharmacies, and internal patient support services. This is a high-visibility, fast-paced role that demands a strong understanding of medical reimbursement, Medicare and commercial payers, and buy-and-bill or specialty pharmacy distribution models.
Key Responsibilities
* Field & Virtual Education (35%) - Deliver on-site or virtual training and education to healthcare providers and staff on reimbursement processes, including lunch-and-learns and scheduled presentations. Log all activity in CRM daily.
* Benefit & Access Education (25%) - Educate providers on benefit verification, prior authorization, payer trends, and support center services. Document and report all interactions as required by the client.
* Reimbursement Support (20%) - Assist offices with claims, billing and coding, appeals, medical benefit interpretation, and co-pay or patient assistance programs. Coordinate closely with case managers for resolution.
* Territory Management (10%) - Manage a schedule of outbound calls, appointment setting, and in-office follow-ups. Collaborate with manufacturer field teams to ensure seamless communication and data sharing.
* Program Performance Monitoring (10%) - Track territory metrics in CRM, analyze trends, and contribute to quarterly reporting and customer satisfaction feedback as needed.
Qualifications:
* Bachelor's degree or equivalent experience
* 8+ years in healthcare reimbursement (Buy & Bill, Specialty Pharmacy)
* Knowledge of Medicare & commercial insurance
* Strong communication, customer service, and organizational skills
* Proficient with PowerPoint, CRM systems, and virtual meeting tools
* Valid driver's license; must be able to travel up to 80%
Preferred Qualifications:
* Field reimbursement or specialty pharmacy experience
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