Field Reimbursement Lead – Nephrology

Otsuka Pharmaceutical Co., Ltd; Northern (KY); Hybrid; USD 135,000 - 201,000; Full time

Benefits offered by this job

Comprehensive medical, dental, vision,

Prescription drug coverage

Tuition reimbursement

401(k) match

Flexible time off

Paid holidays and leave programs

Job summary

Otsuka Pharmaceutical Co., Ltd. is seeking a Field Reimbursement Manager to serve as the subject-matter expert on reimbursement, access, and coverage issues for Nephrology and Rare Disease products.

The role acts as a liaison among HCPs, internal teams, and external stakeholders to facilitate patient access. The FRM will educate offices on payer policies, analyze criteria, coordinate with hubs, and collaborate with Field Sales and other partners while spending 60-70% of time engaging with care

Qualifications

• Bachelor's degree required.
• 5+ years of pharmaceutical industry experience focusing on payer policy and reimbursement.
• 3+ years in benefit verifications, prior-authorization, or equivalent patient access/billing in rare disease.

Responsibilities

• Educate HCPs and staff on access, coverage, reimbursement processes, claims submissions, and coding requirements.
• Analyze payer criteria and provide product access expertise to healthcare offices.
• Coordinate with hubs on patient cases, including enrollment and support services.
• Collaborate with Field Sales, Specialty Pharmacy Accounts and matrix partners.
• Manage daily field activities, spending 60-70% with key stakeholders across care sites.
• Execute territory plans through internal and external partnerships.
• Review and educate offices on payer policies, including prior authorization requirements.
• Provide feedback on local payer trends and access issues.
• Assist in resolving patient-specific coverage challenges when requested by providers.

Skills

Communication

Interpersonal skills

Organizational skills

Relationship building

Training & presentations

Education

Bachelor's degree

Tools

MS Office

Job description

Otsuka Pharmaceutical Co., Ltd. is seeking a Field Reimbursement Manager to serve as the subject-matter expert on reimbursement, access, and coverage issues for Nephrology and Rare Disease products.

The role acts as a liaison among HCPs, internal teams, and external stakeholders to facilitate patient access. The FRM will educate offices on payer policies, analyze criteria, coordinate with hubs, and collaborate with Field Sales and other partners while spending 60-70% of time engaging with care