Field Reimbursement Manager

Recordati; Bridgewater Township (NJ); Remote; USD 100,000 - 150,000; Full time

Job summary

Recordati Rare Diseases, Inc. (RRD), North America, is seeking a Field Reimbursement Manager to drive access and reimbursement education across a designated region, focusing on Endocrinology.

You will partner with healthcare providers to navigate payor policies, prior authorizations, and coding to minimize barriers to therapy. The role requires 30–40% travel, on-site visits as needed, remote work with proximity to a major airport, and collaboration with cross-functional teams.

Qualifications

• Bachelor’s degree required.
• 5–7 years of experience in healthcare/pharma industry.
• Minimum 3 years field reimbursement experience.
• Minimum 2 years working with buy-and-bill or specialty pharmacy networks.
• Ability to analyze and interpret regulations regarding coding, coverage and reimbursement.
• In-depth knowledge of U.S. pharmaceutical market, specifically rare diseases.

Responsibilities

• Partner with cross-functional teams to maximize payer policy knowledge.
• Serve as subject matter expert on coverage, access and reimbursement for HCPs and staff.
• Educate on payor policies, prior authorizations, denials, and appeals.
• Collaborate with HCP staff and Specialty Pharmacy to manage prior authorizations.
• Gather field insights on payer trends and provider needs for internal strategy.
• Develop and execute account plans using available data.
• Comply with laws and Recordati’s Ethics and Business Conduct.
• Manage territory within budget and take on additional duties as assigned.

Skills

Field reimbursement experience

Relationship building

Communication skills

Travel readiness

Education

Bachelor’s degree

Tools

Microsoft Office

Job description

At Recordati, we are united by a clear purpose: unlocking the full potential of life. With a century of history behind us, we are building the next chapter of our journey, continuing to grow while keeping patients at the centre of all we do. What drives us is a shared belief that health, and the opportunity to live life to the full, should be within reach for everyone. This brings energy to our work, shaping how we support each other and show up every day. Our values – Better Together, Never Settle and Always Deliver – reflect this mindset, helping us to keep improving and make a meaningful difference. Above all, these values bring to life our promise to everyone at Recordati, you can unlock your full potential. We know that people thrive when they can be themselves, are trusted and supported, and are given the opportunity to grow and make a meaningful contribution. Are you ready to unlock your full potential?

This position is with Recordati Rare Diseases, Inc. (RRD), North America, an affiliate of Recordati.

Reporting Structure

Reports To: Associate Director, Field Reimbursemenet

Direct Reports: None

Areas Managed: Field Reimbursement

Overview

The Field Reimbursement Manager (FRM) will be responsible for managing accounts in a specified region focusing on but not limited to Endocrinology. The FRM is responsible for providing access and reimbursement education to healthcare providers (HCPs)and office personnel, including information regarding medical policies, prior authorization requirements, coding and billing, product access via buybill or specialty pharmacy with the goal of minimizing barriers to therapy. The FRM also supports by providing general education and case-specific next steps for appeals process in response to prior authorization denials. This role involves investing time on-site with HCPs, assessing their access and reimbursement needs education needs and facilitating collaboration with various stakeholders.

Key Responsibilities

• Partnering with cross-functional parties on overall account and territory strategy to maximize internal/external customer knowledge on payor policy and processes
• Serve as subject matter experts on issues of coverage, access and reimbursement by providing compliant, limited support to US health care providers (HCPs) and their office staff in navigating the reimbursement landscape for products of Recordati Rare Diseases Inc. (RRD) after the HCP made an independent decision to prescribeCollaborate with HCP staff and Specialty Pharmacy to follow up with accounts that have outstanding prior authorization or appeals submissions
• Being a subject matter expert on reimbursement and regional-specific access landscape. This includes payor policies, prior authorization requirements, denials, appeals, peer to peer and other education required to navigate access for coverage of company therapies
• Collaborating with cross-functional parties on individual case management needs related to HCP education on reimbursement issues
• Collect field insights on payer trends, reimbursement challenges and provider needs to inform internal stakeholders
• Leveraging all available resources including internal data to develop and execute account plans/call purpose
• Complying with all laws, regulations and policies that govern the conduct of company activities, work with the highest degree of professionalism and in accordance with the company’s code of Ethics and Business Conduct
• Complying with annual budget allocation within respective territory to Perform additional duties as may be assigned

Education And Experience

• Bachelor’s degree
• Experience in working in field-based role working with provider offices and/or with patient support HUB services
• Minimum of five to seven years of experience in the healthcare and/or pharmaceutical industry
• Minimum of three years successful field reimbursement experience
• Minimum of two years of experience working with buy and bill and/or specialty pharmacy networks
• Ability to analyze and interpret regulations and legislation regarding coding, coverage and reimbursements In-depth knowledge of the U.S. pharmaceutical market, specifically rare diseases.
• Reimbursement or relevant managed care experience (buy-and-bill, prior authorization, coding, and appeals processes)
• Problem-solving ability to navigate challenging access scenarios and identifies solutions in a timely and efficient manner
• Comfortable presenting in person or virtual to Healthcare practitioner office staff
• Superior communication skills (written and verbal) and efficient follow-through

Knowledge And Skills

• Strong relationship-building skills, with demonstrated ability to collaborate and operate across

Functions

• Strong planning and organizational skills; demonstrated decision-making ability Reliable transportation within territory
• Proficiency in Microsoft Office
• Demonstrated highest ethical standards
• Demonstrated effective problem-solving and decision-making capabilities
• Ability to prioritize/multi-task effectively
• Excellent verbal and written communication skills

Work Environment

This job operates in a professional remote environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Based upon job requirements, the employee is required at times to travel to HCP offices offices within a specified territory and attend meetings including travel out of state over weekends and nights. The employee must be able to freely operate and travel by car and train/plane modes of transportation. The employee is required to have a valid driver’s license and means of transportation.

Physical Demands

The physical demands described here are representative of those required to successfully perform the essential functions of this position. The employee must be able to travel domestically and internationally, as business needs require. This position is primarily sedentary. The employee may occasionally move throughout office, meeting, or event locations and regularly operate a computer, telephone, and other office productivity equipment. The employee must be able to communicate effectively with internal and external stakeholders. Occasionally, the employee may be required to move or transport items weighing up to 25 pounds, with or without accommodations.

Location/Travel

This position is a remote position with proximity to a major airport This position requires approximately 30-40% travel (need based).

FLSA Classification

This position is considered Exempt.

EEO Statement

It is the policy of Recordati Rare Diseases to provide equal employment opportunity (EEO) to all persons regardless of race, color, religion, sex, sexual orientation, gender identity, or national origin. Further, Recordati Rare Diseases will not discriminate on the basis of any characteristic protected by federal, state, or local law. Recordati Rare Diseases will provide reasonable accommodations for a qualified individual with disabilities.

Disclaimer

This job description is not designed to cover or contain a comprehensive listing of the activities, duties or responsibilities that may be required

At Recordati we believe in people! Inspired by our purpose - unlocking the full potential of life - we are committed to creating a diverse environment and cultivating a culture of inclusion. We strive to continually lead with our values and beliefs, enabling our employees to bring their whole selves to work and develop their potential.

We are proud to be an equal opportunity employer. We recruit, develop and reward without regard to, amongst others, gender, sexual orientation, gender identity or expression, national origin, age, physical or mental ability, race, ethnicity, political or religious belief.