Access & Reimbursement Manager (ARM) - Mid-Atlantic / DMV

Scorpion Therapeutics; Philadelphia (Philadelphia County); On-site; USD 90,000 - 120,000; Full time

Job summary

Outlook Therapeutics is seeking a Field Reimbursement Manager to support its U.S. retinal disease launch, focusing on payer strategy, access, and reimbursement in ophthalmology practices.

You will educate practice staff on payer policies, manage a retina/ophthalmology territory, lead business reviews, analyze claims for denial trends, and collaborate with sales, patient support, and launch teams. Travel 50–75% and hands-on buy-and-bill experience are preferred.

Qualifications

• 5–10 years in reimbursement, market access, or patient services within biotech/pharma.
• At least 2 years of field reimbursement experience.
• Hands‑on buy‑and‑bill reimbursement, navigating Medicare, Medicaid, commercial payers

Responsibilities

• Serve as primary reimbursement resource
• Educate practice staff on payer policies, billing, coding, prior authorization, and appeals
• Manage a territory of retina/ophthalmology accounts
• Lead business reviews
• Analyze claims data to identify denial trends
• Collaborate cross‑functionally with sales, patient support, and launch teams

Skills

Reimbursement

Market access

Field reimbursement

CRM

Excel

Travel

Education

Bachelor's degree preferred

Tools

CRM

Excel

Job description

Role: Field Reimbursement Manager supporting Outlook Therapeutics' U.S. launch in retinal disease, focusing on reimbursement and access in ophthalmology practices.

Responsibilities

• Serve as primary reimbursement resource
• Educate practice staff on payer policies, billing, coding, prior authorization, and appeals
• Manage a territory of retina/ophthalmology accounts
• Lead business reviews
• Analyze claims data to identify denial trends
• Collaborate cross‑functionally with sales, patient support, and launch teams

Requirements

• 5–10 years in reimbursement, market access, or patient services within biotech/pharma
• At least 2 years of field reimbursement experience
• Hands‑on buy‑and‑bill reimbursement, navigating Medicare, Medicaid, commercial payers
• Proficiency with CRM, Excel
• Willingness to travel 50–75%
• Bachelor's degree preferred

Preferred

• Ophthalmology/retina experience
• HCPCS/J-code expertise
• Supporting product launches
• Relevant certifications (e.g., CPC)

HighValue: ophthalmology, retina, buy‑and‑bill, reimbursement, payer strategy, product launch, U.S. market access, field‑based with significant travel.

WorkSetup: field‑based, U.S. territory.