Field Reimbursement Manager

Scorpion Therapeutics; Birmingham (AL); On-site; USD 110,000 - 150,000; Full time

Benefits offered by this job

401(k) plan with match

Medical/dental/vision

Life and AD&D

Short/long-term disability

Pet Insurance

Employee Discounts

HSA and FSA

Paid parental leave

Mental health resources

Job summary

Scorpion Therapeutics seeks a Field Reimbursement Manager (FRM) to serve as the reimbursement SME across assigned geographies. You will educate HCP offices on coverage, prior authorization processes, and alternate funding options for patients.

Build relationships with providers and health system stakeholders while analyzing payer trends to inform local access strategies. The role requires extensive reimbursement experience, including PA navigation, and strong knowledge of specialty pharmacy

Qualifications

• Bachelor's degree in allied health or equivalent work experience in healthcare.
• 8+ years in pharmaceutical/biotech/related healthcare.
• Extensive reimbursement experience including prior authorizations and payer navigation.
• 3–6 years supporting specialty pharmaceuticals/biologics.
• Strong knowledge of HIPAA and federal/state healthcare laws.
• Bilingual English/Spanish highly desired.

Responsibilities

• Act as SME in reimbursement, access, and specialty distribution for assigned geography.
• Educate HCP offices on coverage status, prior authorization, appeals, and alternate funding options.
• Build and maintain relationships with HCPs, office staff, and health system stakeholders.
• Analyze regional payer coverage trends, reimbursement criteria, and payer mix.
• Guide on specialty pharmacy services and navigate complex distribution channels.
• Collaborate with Patient Support to ensure accurate benefit investigations and onboarding.
• Develop and execute territory-level business plans using customer insights.

Skills

PA/PA authorization

US payer landscape

Reimbursement strategy

Stakeholder engagement

Education

Bachelor's degree in allied health

Equivalent work experience

Tools

CRM platforms (Salesforce)

Job description

Field Reimbursement Manager (FRM)

Key Responsibilities

• Act as a compliant subject matter expert (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 help navigate complex distribution channels.
• Partner with the Patient Support team for 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 in the field; escalates cases when needed.
• Identify process improvements to enhance patient access and provider satisfaction.
• Maintain compliance with applicable legal/regulatory requirements and policies (including patient privacy and promotional conduct).

Requirements/Qualifications

• Bachelor’s degree in an allied health field preferred or equivalent work experience.
• 8+ years in pharmaceutical/biotech/related healthcare industry.
• Substantial reimbursement experience required, including 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 patient navigation through insurance approval.
• Strong knowledge of specialty pharmacy distribution models and patient services programs.
• Knowledge of HIPAA and federal/state laws governing patient confidentiality and healthcare communications.
• Bilingual (English/Spanish) highly desired.
• Proven track record supporting complex therapies in rare or specialty conditions.
• Exceptional communication/interpersonal skills; ability to build trust with providers and internal partners.
• Ability to manage ambiguity and multiple cases simultaneously; real-time problem solving.
• Digital fluency with CRM platforms; comfort educating using technology-enabled tools, including AI-based platforms.

Benefits

• 401(k) plan with company match; comprehensive medical/dental/vision.
• Company-paid Life and AD&D; company-paid short/long-term disability.
• Voluntary Pet Insurance and Legal Insurance; EAP.
• Employee Discounts and Professional Development programs.
• HSA and FSA.
• Accident, Critical Illness, and Hospital Indemnity Insurance.
• Paid parental leave and mental health resources.
• Performance-based incentive compensation plans.