Field Reimbursement Manager

Scorpion Therapeutics; Missouri; On-site; USD 130,000 - 180,000; Full time

Benefits offered by this job

401(k) match

Medical/dental/vision

Job summary

Scorpion Therapeutics is seeking a Field Reimbursement Manager to act as the subject matter expert on reimbursement, access, and specialty distribution within the territory. You will educate HCP offices, analyze payer trends, and collaborate with internal teams to build local access strategies.

The role requires extensive experience with US payer landscapes, prior authorizations, and specialty pharma programs, with bilingual English/Spanish strongly preferred.

Qualifications

• Bachelor’s degree in an allied health field (preferred) or equivalent experience.
• 8+ years in pharmaceutical/biotech/healthcare.
• Reimbursement experience: prior authorizations and US payer navigation.
• 3–6 years supporting Specialty Pharmaceuticals/Biologics.
• Deep knowledge of reimbursement/access/specialty pharmacy operations.
• Experience supporting product launches and insurance approval processes.
• Knowledge of HIPAA and healthcare confidentiality laws.
• Bilingual English/Spanish is highly desirable.

Responsibilities

• Serve as a compliant SME for reimbursement, access, and specialty distribution in assigned geography.
• Educate HCP offices on coverage status, prior authorization, appeals, and alternate funding for uninsured/underinsured patients.
• Build relationships with HCPs, office staff, and health system stakeholders.
• Analyze regional/local payer coverage trends, reimbursement criteria, and payer mix.
• Advise on specialty pharmacy services and complex distribution navigation.
• Partner with Patient Support on benefit investigations and patient onboarding.
• Collaborate with internal teams to develop local access strategies.
• Develop and execute territory-level business plans using customer insights.
• Resolve reimbursement issues in the field and elevate cases as needed.
• Identify process improvements to improve patient access and provider satisfaction.
• Maintain compliance with legal/regulatory/company policies (including privacy and promotional conduct).

Skills

Reimbursement expertise

Payer landscape navigation

Bilingual (English/Spanish)

HIPAA knowledge

Education

Bachelor’s degree in allied health

Tools

CRM platforms

Job description

Field Reimbursement Manager (FRM) – Key Responsibilities

• Serve as a compliant SME for reimbursement, access, and specialty distribution in assigned geography.


• Educate HCP offices on coverage status, prior authorization, appeals, and alternate funding for uninsured/underinsured patients.


• Build relationships with HCPs, office staff, and health system stakeholders.


• Analyze regional/local payer coverage trends, reimbursement criteria, and payer mix.


• Advise on specialty pharmacy services and complex distribution navigation.


• Partner with Patient Support on benefit investigations and patient onboarding.


• Collaborate with internal teams to develop local access strategies.


• Develop and execute territory-level business plans using customer insights.


• Resolve reimbursement issues in the field and elevate cases as needed.


• Identify process improvements to improve patient access and provider satisfaction.


• Maintain compliance with legal/regulatory/company policies (including privacy and promotional conduct).

Requirements / Qualifications

• Bachelor’s degree in an allied health field (preferred) or equivalent experience.


• 8+ years in pharmaceutical/biotech/related healthcare.


• Required reimbursement experience: prior authorizations and navigating the US payer landscape.


• 3–6 years supporting Specialty Pharmaceuticals/Biologics.


• Deep knowledge of reimbursement/access/specialty pharmacy operations; specialty distribution models and patient services programs.


• Experience supporting product launches and/or insurance approval processes.


• Knowledge of HIPAA and other federal/state confidentiality and healthcare communications laws.


• Bilingual (English/Spanish) highly desired.


• Proven track record with complex therapies in rare/specialty conditions.


• Exceptional communication/interpersonal skills; build trust; manage multiple cases; problem-solve in real time.


• Digital fluency with CRM platforms and technology-enabled patient support tools (including AI).

Benefits (as listed)

• 401(k) with company match; comprehensive medical/dental/vision; company-paid Life/AD&D; company-paid short/long-term disability; EAP; HSA/FSA; paid parental leave; performance-based incentives; plus other listed supplemental plans (pet/legal; accident/critical illness/hospital indemnity).