Field Reimbursement & Access Strategist

Scorpion Therapeutics; Denver (CO); On-site; USD 185,000 - 190,000; Full time

Benefits offered by this job

401(k) with company match

Medical/dental/vision coverage

Life and AD&D insurance

Short/Long-term disability

HSA and FSA

Job summary

Scorpion Therapeutics in Denver seeks an experienced reimbursement expert to lead access strategies for specialty therapies. You will educate HCP offices on coverage, prior authorizations, and funding options while building strong relationships with providers and health system stakeholders.

You will analyze payer trends, guide specialty pharmacy services, and collaborate with patient support to ensure accurate benefit investigations and smooth onboarding.

Qualifications

• Bachelor's degree in an allied health field preferred or equivalent work experience.
• 8+ years in pharma/biotech/related healthcare industry.
• Prior reimbursement experience required: substantial experience with prior authorizations and navigating the US payer landscape.
• 3-6 years supporting Specialty Pharmaceuticals/Biologics.
• Deep understanding of reimbursement, access, and specialty pharmacy operations.
• Experience supporting product launches or guiding patients through insurance approval processes.
• Strong understanding of Specialty Pharmacy distribution models and patient services programs.
• Knowledge of HIPAA and other federal/state laws governing patient confidentiality and healthcare communications.
• Bilingual skills (English/Spanish) highly desired.
• Proven track record supporting complex therapies in rare or specialty conditions.
• Exceptional communication/interpersonal skills; builds trust with providers and internal partners.
• Comfortable with ambiguity and managing multiple cases in real time.
• Digital fluency with CRM platforms; comfortable educating patients on technology-enabled tools, including AI-based platforms.

Responsibilities

• Act as SME in reimbursement, access, and specialty distribution for assigned geography.
• Provide education to HCP offices on coverage status, prior authorization processes, appeals, and alternate funding options for uninsured/underinsured patients.
• Build and maintain productive relationships with HCPs, office staff, and health system stakeholders.
• Analyze regional/local payer coverage trends, reimbursement criteria, and payer mix.
• Provide guidance on specialty pharmacy services and help customers navigate complex distribution channels.
• Partner with Patient Support to ensure accurate benefit investigations and streamlined patient onboarding.
• Collaborate with internal partners to build local access strategies aligned with business objectives.
• Develop and execute territory-level business plans using strategic customer insights.
• Participate in field-based problem-solving, including reimbursement issue resolution and case escalation when needed.
• Identify process improvements to enhance patient access and provider satisfaction.
• Maintain compliance with legal/regulatory/company policies, including patient privacy and promotional conduct.

Skills

Reimbursement expertise

Payer landscape navigation

HCP education

Relationship management

CRM proficiency

Bilingual: English/Spanish

Education

Bachelor's degree in allied health

Job description

Scorpion Therapeutics in Denver seeks an experienced reimbursement expert to lead access strategies for specialty therapies. You will educate HCP offices on coverage, prior authorizations, and funding options while building strong relationships with providers and health system stakeholders.

You will analyze payer trends, guide specialty pharmacy services, and collaborate with patient support to ensure accurate benefit investigations and smooth onboarding.