Field Reimbursement Manager

Scorpion Therapeutics; Nashville (TN); On-site; USD 180,000 - 190,000; Full time

Benefits offered by this job

401(k) match

Medical/dental/vision

Life and AD&D

Disability

Pet Insurance

Legal Insurance

EAP

Employee Discounts

Professional Development

HSA

FSA

Parental leave

Mental health resources

Incentive compensation plans

Job summary

Scorpion Therapeutics in Nashville, TN seeks a Field Reimbursement Manager to act as reimbursement SME and educate providers on coverage and prior authorizations. You will build payer relationships, analyze regional trends, and guide specialty pharmacy services to streamline patient access.

The role requires 8+ years in biopharma/healthcare, strong knowledge of HIPAA, and bilingual English/Spanish is highly desired. A strategic, collaborative approach and CRM fluency are essential.

Qualifications

• Bachelor’s degree in allied health or equivalent.
• 8+ years in pharmaceutical/biotech/healthcare industry.
• Prior reimbursement experience navigating US payer landscape.
• 3–6 years supporting Specialty Pharmaceuticals/Biologics.
• HIPAA and healthcare communications knowledge.
• English/Spanish bilingual highly desired.

Responsibilities

• Serve as SME in reimbursement, access, and specialty distribution for assigned geography.
• Educate HCP offices on coverage, prior authorizations, appeals, and funding options.
• Build relationships with HCPs, office staff, and health system stakeholders.
• Analyze regional payer coverage trends and payer mix.
• Guide specialty pharmacy services and patient onboarding processes.
• Partner with Patient Support to ensure benefit investigations are accurate.
• Collaborate to develop local access strategies and territory business plans.
• Execute territory plans using strategic customer insights.
• Resolve reimbursement issues and escalate cases when needed.
• Identify process improvements to enhance patient access and provider satisfaction.

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.
• Provide education to HCP offices on coverage status, prior authorization processes, appeals, and alternate funding options for uninsured/underinsured patients.
• Build and maintain productive relationships with HCPs, office staff, and health system stakeholders.
• Analyze regional and local payer coverage trends, reimbursement criteria, and payer mix.
• Provide guidance on specialty pharmacy services and help customers navigate complex distribution channels.
• Partner with the Patient Support team 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.
• Participate in field-based problem-solving, including reimbursement issue resolution and case escalation when needed.
• Identify process improvements and innovations to enhance patient access and provider satisfaction.
• Maintain compliance with legal/regulatory/company policies, especially patient privacy and promotional conduct.

Requirements

• 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: substantial experience with prior authorizations and navigating the US payer landscape.
• 3–6 years supporting Specialty Pharmaceuticals/Biologics.
• Deep understanding of reimbursement/access/specialty pharmacy operations; specialty pharmacy distribution models and patient services programs.
• Experience supporting product launches or guiding patients through insurance approval.
• Knowledge of HIPAA and other 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.
• Comfort navigating ambiguity; manage multiple cases and solve problems in real time.
• Digital fluency with CRM platforms; comfort educating on technology-enabled support tools (including AI-based platforms).

Benefits

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

Compensation

• Annual base salary: $180,000–$190,000.