Field Reimbursement Manager

Scorpion Therapeutics; New Orleans (LA); On-site; USD 180,000 - 190,000; Full time

Benefits offered by this job

401(k) plan with company match

Medical/dental/vision coverage

Life and AD&D insurance

Short- and long-term disability

Pet Insurance

EAP

Professional development programs

HSA and FSA

Parental leave

Mental health resources

Incentive compensation plans

Job summary

Scorpion Therapeutics is seeking a Field Reimbursement Manager to lead reimbursement, access, and specialty distribution strategies across assigned geography. You will educate HCP offices on coverage and prior authorizations, build strong payer relationships, and guide patients through insurance approvals while ensuring HIPAA compliance.

This role requires deep payer knowledge, prior auth experience, and the ability to navigate complex therapies in rare or specialty conditions.

Qualifications

• Bachelor’s degree in allied health or equivalent work experience.
• 8+ years in pharmaceutical/biotech/related healthcare industry.
• Prior reimbursement experience with prior authorizations and US payer landscape.
• 3–6 years supporting Specialty Pharmaceuticals/Biologics.
• Deep understanding of reimbursement, access, and specialty pharmacy operations.
• Experience guiding patients through insurance approval processes.
• Strong understanding of Specialty Pharmacy distribution models and patient services programs.
• Knowledge of HIPAA and other federal/state laws for patient confidentiality/healthcare communications.
• Bilingual (English/Spanish) highly desired.
• Proven track record supporting complex therapies in rare/specialty conditions.

Responsibilities

• Act as SME in reimbursement, access, and specialty distribution for assigned geography.
• Educate HCP offices on coverage status, prior authorization processes, appeals, and alternate funding options.
• 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 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 identify process improvements to enhance access.

Skills

Reimbursement strategy

Payer landscape

Prior authorizations

Specialty pharma

Biologics experience

HIPAA compliance

Bilingual Spanish

Communication skills

CRM platforms

Provider relationships

Education

Bachelor’s degree in allied health or equivalent

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
• Identify process improvements to enhance patient access and provider satisfaction.
• Maintain compliance with applicable legal/regulatory requirements and patient privacy/promotional conduct policies.

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, and specialty pharmacy operations.
• Experience supporting product launches or guiding patients through insurance approval processes.
• Strong understanding of Specialty Pharmacy distribution models and patient services programs.
• Knowledge of HIPAA and other federal/state laws for patient confidentiality/healthcare communications.
• Bilingual (English/Spanish) highly desired.
• Proven track record supporting complex therapies in rare/specialty conditions.
• Exceptional communication/interpersonal skills; builds trust with providers and internal partners.
• Comfortable with ambiguity, managing multiple cases, and solving problems in real time.
• Digital fluency with CRM platforms; comfortable educating patients 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; company-paid short- and long-term disability.
• Voluntary Pet Insurance and Legal Insurance.
• Employee Assistance Program (EAP).
• Employee Discounts and Professional Development programs.
• HSA and FSA.
• Accident, Critical Illness, and Hospital Indemnity Insurance.
• Paid parental leave and mental health resources.
• Performance-based incentive compensation plans.

Annual base salary: $180,000–$190,000 (varies by qualifications/skills/competencies).