Field Reimbursement Manager

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

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 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 escalating cases 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.

Requirements/Qualifications

• Bachelor’s degree in an allied health field (preferred) 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.
• Experience supporting product launches or guiding patients through insurance approval.
• Strong understanding of specialty pharmacy distribution models and patient services programs.
• Knowledge of HIPAA and other federal/state confidentiality/healthcare communications laws.
• Bilingual (English/Spanish) highly desired.
• Track record supporting complex therapies in rare/specialty conditions.
• Exceptional communication/interpersonal skills; able to build trust.
• Comfortable with ambiguity and managing multiple cases.
• Digital fluency with CRM platforms; comfort educating on technology-enabled support tools (including AI).

Benefits

• 401(k) plan with company match; medical/dental/vision.
• Company-paid Life and AD&D; short- and long-term disability.
• Voluntary pet and legal insurance; EAP.
• HSA and FSA; accident/critical illness/hospital indemnity insurance.
• Paid parental leave and mental health resources.
• Performance-based incentive compensation plans.

Compensation

Annual base salary: $180,000-$190,000 (may vary). Some roles may include car allowance and commission/bonus eligibility.