Field Reimbursement Manager

Adecco; Los Angeles (CA); Hybrid; USD 110,000 - 130,000; Full time

Benefits offered by this job

Onboarding Specialist

Aspire Academy access

Job summary

Adecco seeks a Field Reimbursement Manager to act as a strategic reimbursement advisor for healthcare providers in a hybrid Los Angeles setting. You will lead complex access initiatives, manage prior authorizations, and develop payer insights to improve patient access.

Responsibilities include cross-functional collaboration, site engagements, and expert guidance on Medicare and commercial payer structures. The role combines field work with structured reporting and outcomes documentation.

Qualifications

• 4-year degree in related field or equivalent experience.
• Minimum of 8 years healthcare related reimbursement experience.
• Strong medical reimbursement experience with Buy & Bill and/or Specialty Pharmacy.
• Experience supporting program specific drug therapy space (oncology, dermatology).
• Experience in insurance verification, prior authorizations, and/or claim adjudication.
• Medicare and commercial insurance coverage experience.
• Ability to deliver and document benefit investigation outcomes and status reports.
• Strong customer service experience.
• Proven presentation skills.
• Ability to handle multiple priorities in a changing environment.
• Excellent organizational skills.
• PowerPoint and Web Meeting proficiency.

Responsibilities

• Act as a strategic reimbursement advisor and liaison for healthcare providers, resolving access and reimbursement barriers.
• Lead resolution of high-impact reimbursement cases including benefit investigations, prior authorizations, claims escalations, and appeals.
• Design and deliver payer insights tailored to provider needs.
• Cultivate partnerships with provider offices and manufacturers to align support services.
• Drive cross-functional collaboration to optimize service delivery and experience.
• Plan and facilitate site engagements to enhance provider readiness and adoption.
• Represent FRM in field-based initiatives and stakeholder engagement strategies.
• Oversee territory-level project execution and account coordination to meet KPIs.
• Operate autonomously in a client-facing environment with tight timelines.
• Lead documentation and reporting of field activities in the FRM CRM system.

Skills

Client liaison

Communication

Multitasking

Organizational skills

PowerPoint

Web meetings

Education

4-year degree or equivalent

Tools

PowerPoint

WebEx/Meetings

Job description

Responsibilities for Field Reimbursement Manager include but are not limited to:

• Act as a strategic reimbursement advisor and primary liaison for healthcare providers, proactively identifying and resolving complex access and reimbursement barriers for assigned therapies.
• Lead the resolution of high-impact reimbursement cases by overseeing benefit investigations, prior authorizations, claims escalations, and appeals, ensuring timely patient access.
• Design and deliver advanced payer insights tailored to provider needs, incorporating evolving policy trends and access strategies across remote and in-person platforms.
• Cultivate and expand strategic partnerships with key provider offices and manufacturer stakeholders to align support services with evolving customer and market dynamics.
• Drive cross-functional collaboration with internal hub operations, analytics, and client teams to optimize service delivery and elevate the provider and patient experience.
• Plan and facilitate high-value site engagements, including manufacturer-sponsored training and regional educational forums, to enhance provider readiness and adoption.
• Serve as a subject matter expert on Medicare and commercial payer structures, translating complex benefit data into actionable insights for stakeholders.
• Represent the FRM function in field-based initiatives, territory planning, and stakeholder engagement strategies to maximize visibility and impact.
• Oversee territory-level project execution and account coordination, ensuring alignment with client KPIs, compliance standards, and program milestones.
• Operate with a high degree of autonomy in a dynamic, client-facing environment, consistently delivering results under tight timelines and shifting priorities.
• Lead documentation and reporting of all field activities in the FRM CRM system, ensuring data integrity and visibility for internal and client stakeholders.

Candidates Field Reimbursement Manager must meet the following requirements to be considered:

• 4-year degree in related field or equivalent experience Business Experience:
• Entry-level experience in project management
• Minimum of 8 years healthcare related reimbursement experience
• Strong medical reimbursement experience with Buy & Bill and/or Specialty Pharmacy.
• Experience supporting program specific drug therapy space, i.e., oncology, dermatology, etc.
• Experience in the healthcare industry including, but not limited to insurance verification, prior authorizations, and/or claim adjudication, physician’s office or clinics.
• Must have Medicare and commercial insurance coverage experience.
• Must be able to deliver and document benefit investigation outcomes and relay status reports on a regular basis.
• Strong customer service experience
• Proven presentation skills and experience
• Ability to effectively handle multiple priorities within a changing environment.
• Excellent organizational skills
• Strong Computer literacy to include PowerPoint and Web Meeting experience. Specialized

Nice-to-have Skills:

• Previous field experience, a plus
• Previous experience with specialty pharmacy a plus
• Account management experience, a plus
• Excellent Interpersonal skills.
• Excellent written and oral communication skills.
• Problem solving and decision-making skills.

What's in this Field Reimbursement Manager position for you?

• Pay: $58.17/hr.
• Shift: Hybrid, M-F; 8 AM - 5 PM
• Weekly paycheck
• Dedicated Onboarding Specialist & Recruiter Access to Adecco's Aspire Academy with thousands of free upskilling courses.

Pay Details:

$58.17 per hour

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance

Equal Opportunity Employer/Veterans/Disabled

Military connected talent encouraged to apply

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.adecco.com/en-us/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance

Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.