Field Reimbursement Manager

TSP, a Syneos Health company; St. Louis (MO); On-site; USD 185,000 - 190,000; Full time

Benefits offered by this job

401(k) match

Medical coverage

Life Insurance

Disability insurance

EAP

Professional development

Health Savings Account

FSA

Paid parental leave

Job summary

Ascendis Pharma is seeking a Field Reimbursement Manager to minimize access barriers for patients and providers. You will deliver education on coverage, prior authorization, and reimbursement criteria for Ascendis products, integrating these into the provider workflow.

This role covers the Central region, from MN to MO, extending to CO and MT. You’ll partner with Market Access, Sales, and Patient Support to build local access strategies and execute territory plans aligned with business

Qualifications

• 8+ years in pharmaceutical/biotech/healthcare industry
• Experience with prior authorizations and US payer landscape
• Experience supporting Specialty Pharmaceuticals/Biologics
• Deep understanding of reimbursement, access, and specialty pharmacy operations
• Experience guiding patients through insurance approval processes
• HIPAA knowledge and compliance awareness

Responsibilities

• Act as SME in reimbursement, access, and distribution for assigned geography
• Educate HCP offices on coverage, prior authorizations, appeals, and alternate funding
• Build relationships with HCPs, office staff, and health system stakeholders
• Analyze payer coverage trends and reimbursement criteria
• Guide specialty pharmacy services and navigate distribution channels
• Collaborate with Patient Support to ensure benefit investigations and onboarding
• Work with internal teams to build local access strategies and business plans
• Develop and execute territory-level plans using customer insights
• Support problem-solving and escalation of reimbursement issues
• Identify process improvements to enhance patient access and provider satisfaction
• Maintain compliance with legal, regulatory, and policy standards

Skills

Reimbursement experience

Prior authorizations

Specialty pharma

CRM software

Bilingual English/Spanish

Communication skills

Education

Bachelor’s degree in allied health or related field

Tools

CRM software

Job description

Description

Ascendis Pharma is a dynamic, fast-growing global biopharmaceutical company with locations in Denmark, Europe, and the United States. Today, we're advancing programs in Endocrinology Rare Disease and Oncology. We pride ourselves on exceptional science, visionary leadership, and a team of skilled and passionate colleagues. Guided by our core values—Patients, Science, and Passion—we use our proprietary TransCon® drug development platform to create potentially best-in-class therapies that address serious unmet medical needs. Our culture fosters a workplace where adaptable, driven professionals can thrive and make a real impact.

The Field Reimbursement Manager (FRM) is a customer-facing role focused on minimizing reimbursement and access barriers for patients and providers. This role supports HCP offices by delivering education on coverage, access, and reimbursement criteria for Ascendis products and plays a key role in integrating those products into the provider workflow.

The FRM partners closely with internal stakeholders—Market Access, Sales, Patient Support—and external contacts to proactively address access challenges and support patient access to therapy.

This geography covers the Central region, which is MN down to MO, over to CO, and up to Montana.

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, and company policies, especially those governing patient privacy and promotional conduct.

Requirements

• Bachelor’s degree in an allied health field preferred or equivalent work experience.
• 8+ years of experience in the pharmaceutical, biotech, or related healthcare industry.
• Previous Reimbursement Experience Required: Candidates should have substantial experience with prior authorizations and navigating the US payer landscape.
• 3-6 years of experience 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 governing patient confidentiality and healthcare communications.
• Bilingual skills are highly desired (English/Spanish).
• Proven track record supporting complex therapies in rare or specialty conditions
• Exceptional communication and interpersonal skills with the ability to build trust with providers, and internal partners.
• Comfort navigating ambiguity, managing multiple cases simultaneously, and solving problems in real time.
• Digital fluency with CRM platforms and comfort educating patients on technology-enabled support tools, including AI-based platforms.

Benefits

• 401(k) plan with company match
• Comprehensive medical, dental, and vision plans
• Company-paid Life and AD&D insurance
• Company-paid short and long-term disability coverage
• Voluntary Pet Insurance and Legal Insurance
• Employee Assistance Program (EAP)
• Employee Discounts and Professional Development programs
• Health Savings Account (HSA) and Flexible Spending Accounts (FSA)
• Accident, Critical Illness, and Hospital Indemnity Insurance
• Paid parental leave and mental health resources
• Performance-based incentive compensation plans

The annual base salary for this position is $185,000 - $190,000. Actual salary will vary based on various factors such as the candidate’s qualifications, skills, competencies, and proficiency for the role. In addition, some positions may include a company car or car allowance and eligibility to earn commissions/bonus based on company and/or individual performance.

Ascendis Pharma is proud to be an equal opportunity employer. We are committed to creating an inclusive environment for all employees.