Field Access & Reimbursement Leader

Ardelyx, Inc.; Chicago, Northern (IL, KY); Hybrid; USD 145,000 - 210,000; Full time

Benefits offered by this job

401(k) plan with employer match

Paid parental leave (12 weeks)

Equity incentive plans

Health plans (medical, prescription, d

Life insurance and disability

Job summary

Ardelyx, Inc. seeks a Field Reimbursement Manager to support patient access across gastroenterology products.

You will work with Field Sales and Patient Services to optimize payer strategies, prior authorizations, and denials management, ensuring timely access for patients. You will leverage data analytics and reimbursement expertise to identify barriers, coordinate with HUB and specialty pharmacies, and navigate Medicare, Medicaid, and commercial plans.

Qualifications

• B.A/B.S. with 6–9 years in field reimbursement or related pharma roles.
• 3–5 years as a field reimbursement manager in public or private settings.
• Extensive knowledge of medication access channels and payor systems.
• Strong knowledge of Medicare Part D, commercial, and Medicaid.
• GI products or providers experience preferred.

Responsibilities

• Establish and maintain collaborative relationships with Patient Services, Field Sales, and Providers to support patient access.
• Assist HCPs with education on prior authorization, appeals, denials, and coverage.
• Review patient information to resolve coverage challenges when appropriate.
• Identify, address and update barriers with internal/external stakeholders.
• Utilize HUB and specialty pharmacy partners to remove access barriers.
• Monitor patient start trends and coordinate with Field Sales and Patient Services to mitigate challenges.
• Maintain knowledge of payor market dynamics and distribution channels to support patient needs.
• Serve as SME on access and affordability across payer types (Medicare, Medicaid, Commercial).
• Adapt to healthcare ecosystem changes to customize resourcing and messaging to HCPs.

Skills

Field reimbursement

Patient services

Market access

Healthcare operations

Insurance knowledge

Relationship management

Data-driven decisions

Education

B.A./B.S. degree

Tools

Medicare knowledge

Specialty Pharmacy

Job description

Ardelyx, Inc. seeks a Field Reimbursement Manager to support patient access across gastroenterology products.

You will work with Field Sales and Patient Services to optimize payer strategies, prior authorizations, and denials management, ensuring timely access for patients. You will leverage data analytics and reimbursement expertise to identify barriers, coordinate with HUB and specialty pharmacies, and navigate Medicare, Medicaid, and commercial plans.