Access & Reimbursement Manager (ARM) - Northeast

Scorpion Therapeutics; Boston (MA); Hybrid; USD 110,000 - 170,000; Full time

Job summary

Scorpion Therapeutics is seeking a field reimbursement manager to support ophthalmology/retina practices during US product launches. You will focus on payer coverage, prior authorization, and claims resolution, serving as the primary reimbursement resource for field teams.

Requirements include 5–10 years in reimbursement or market access, 2+ years in field reimbursement, and strong Medicare/commercial payer knowledge.

Qualifications

• Bachelor's degree preferred.
• 5–10 years in reimbursement/market access within biotech/pharma, with at least 2 years of field reimbursement experience.
• Strong buy-and-bill reimbursement, Medicare and commercial payer knowledge.
• Adept at claims data analysis, communication skills, CRM and Excel proficiency.
• Willing to travel 50–75%.
• Compliance-focused.

Responsibilities

• Serve as the primary reimbursement resource.
• Educate practice staff on billing/coding.
• Guide through prior-authorization and appeals.
• Analyze claims data for denial patterns.
• Monitor payer coverage.
• Partner with cross-functional teams for seamless patient access.

Skills

CRM proficiency

Excel proficiency

Communication skills

Field-based collaboration

Education

Bachelor's degree preferred

Tools

CRM systems

Job description

Role

Field reimbursement manager supporting ophthalmology/retina practices during US product launch, focusing on payer coverage, prior authorization, and claims resolution.

Responsibilities

• serve as the primary reimbursement resource,
• educate practice staff on billing/coding,
• guide through prior-authorization and appeals,
• analyze claims data for denial patterns,
• monitor payer coverage,
• and partner with cross-functional teams for seamless patient access.

Requirements

• bachelor's degree preferred;
• 5-10 years in reimbursement, market access, or patient services within biotech/pharma, with at least 2 years of field reimbursement experience;
• strong buy-and-bill reimbursement, Medicare and commercial payer knowledge;
• adept at claims data analysis, communication skills, CRM and Excel proficiency;
• willing to travel 50-75%;
• compliance-focused.

Preferred

• ophthalmology/retina experience,
• HCPCS/J-code proficiency,
• product launch support,
• certifications like CPC or PAHM.

HighValue

• ophthalmology/retina,
• buy-and-bill,
• product launch,
• Medicare/Medicaid/commercial payer expertise,
• field-based,
• significant travel.

WorkSetup

field-based within NY/NJ/CT/MA/RI/NH/ME; travel 50-70%.