Field Reimbursement Leader - Payer Access

Scorpion Therapeutics; Chicago (IL); On-site; USD 180,000 - 190,000; Full time

Benefits offered by this job

401(k) with match

Medical/Dental/Vision

Life and AD&D

Job summary

Scorpion Therapeutics in Chicago, IL is seeking a Field Reimbursement Manager to serve as a compliant SME in reimbursement, access, and specialty distribution for the assigned geography.

You will educate HCP offices on coverage, prior authorizations, appeals, and funding options; build relationships with health system stakeholders; and develop territory plans aligned with corporate objectives.

Qualifications

• Bachelor’s degree in allied health or equivalent work experience.
• 8+ years in pharmaceutical/biotech/related healthcare industry.
• Prior reimbursement experience required: prior authorizations and navigating the US payer landscape.
• 3-6 years supporting Specialty Pharmaceuticals/Biologics.
• Deep understanding of reimbursement, access, and specialty pharmacy operations.
• Knowledge of HIPAA and healthcare communications laws.
• Bilingual English/Spanish highly desired.
• Track record supporting complex therapies in rare/specialty conditions.

Responsibilities

• Act as compliant SME in reimbursement, access, and specialty distribution for assigned geography.
• Educate HCP offices on coverage status, prior authorization processes, appeals, and alternate funding options for uninsured/underinsured patients.
• Build and maintain 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 navigate 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.
• Resolve reimbursement issues and escalate cases when needed.
• Identify process improvements to enhance patient access and provider satisfaction.
• Maintain compliance with HIPAA and other confidentiality laws.

Skills

Reimbursement strategy

Payer landscape navigation

Specialty pharmacy operations

Patient access

HIPAA knowledge

CRM platforms

Bilingual English/Spanish

Education

Bachelor’s degree in allied health

Tools

CRM platforms

Job description

Scorpion Therapeutics in Chicago, IL is seeking a Field Reimbursement Manager to serve as a compliant SME in reimbursement, access, and specialty distribution for the assigned geography.

You will educate HCP offices on coverage, prior authorizations, appeals, and funding options; build relationships with health system stakeholders; and develop territory plans aligned with corporate objectives.