Access & Reimbursement Manager (ARM) - Upper Midwest / Plains

Scorpion Therapeutics; Minneapolis (MN); Hybrid; USD 110,000 - 150,000; Full time

Job summary

Outlook Therapeutics is seeking a Field Reimbursement Manager to support the launch of an FDA-approved ophthalmic treatment for wet AMD. You will serve as the primary reimbursement expert for retina/ophthalmology practices within a designated U.S.

territory, guiding payer coverage, billing, coding, prior authorization, and claims support. The role requires 5–10 years in reimbursement or market access in pharma/biotech, hands-on buy-and-bill experience, strong communication, and travel 50–75%.

Qualifications

• 5–10 years experience in reimbursement or market access in pharma/biotech.
• Hands-on buy-and-bill reimbursement, Medicare/Medicaid/Commercial payer navigation.
• Strong communication skills and proficiency with CRM and Excel.

Responsibilities

• Serve as the primary reimbursement expert for retina/ophthalmology practices within a designated U.S. territory, providing education on payer coverage, billing, coding, prior authorization, and claims support.
• Manage accounts, analyze denial trends, and develop access strategies.
• Collaborate with cross-functional teams to ensure smooth patient access.
• Monitor policy changes and escalated systemic payer issues.

Skills

Field reimbursement

Buy-and-bill

CRM

Excel

Travel readiness

Job description

Field Reimbursement Manager supporting Outlook Therapeutics' launch of an FDA-approved ophthalmic treatment for wet AMD

Responsibilities

• serve as primary reimbursement expert for retina/ophthalmology practices within a designated U.S. territory, providing education on payer coverage, billing, coding, prior authorization, and claims support;
• manage accounts, analyze denial trends, and develop access strategies;
• collaborate with cross-functional teams to ensure smooth patient access;
• monitor policy changes and escalated systemic payer issues.

Requirements

• 5-10 years experience in reimbursement, market access, or patient services in pharma/biotech, with at least 2 years of field reimbursement experience;
• hands-on buy-and-bill reimbursement, Medicare/Medicaid/Commercial payer navigation;
• strong communication skills and proficiency with CRM and Excel;
• ability to travel 50-75%.

Preferred

• ophthalmology or retina experience, HCPCS/J-code familiarity, product launch support background, relevant certifications (e.g., CPC).

HighValue

• focus on retinal disease, biologic or injectable therapeutics, U.S. launch readiness, payer landscape analysis, highly regulated environment.

WorkSetup

• field-based in the U.S., territory travel required 50-70%.