Field Reimbursement Manager

The Adecco Group; United States; Remote; USD 110,000 - 150,000; Full time

Job summary

The Adecco Group is seeking a Field Reimbursement Manager (FRM) to support access and reimbursement for a specialty product. This remote role collaborates with physician offices and manufacturer partners to resolve reimbursement challenges and deliver education on payer landscapes and available support services.

The position requires 8+ years in healthcare reimbursement, Medicare and commercial payer knowledge, and proficiency with PowerPoint and CRM systems.

Qualifications

• Bachelor’s degree or equivalent experience.
• 8+ years in healthcare reimbursement (Buy & Bill, Specialty Pharmacy).
• Knowledge of Medicare & commercial insurance.
• Strong communication, customer service, and organizational skills.
• Proficient with PowerPoint, CRM systems, and virtual meeting tools.
• Valid driver’s license; travel up to 80%.

Responsibilities

• Field & Virtual Education (35%) – Deliver training to providers on reimbursement processes and log activity in CRM daily.
• Benefit & Access Education (25%) – Educate providers on benefit verification, prior authorization, payer trends, and patient support services.
• Reimbursement Support (20%) – Assist offices with claims, coding, appeals, and patient assistance; coordinate with case managers.
• Territory Management (10%) – Schedule outbound calls, appointments, and follow-ups; collaborate with manufacturer teams.
• Program Performance Monitoring (10%) – Track territory metrics in CRM and contribute to reports.

Skills

Healthcare reimbursement experience

Communication skills

Customer service

Organizational skills

Education

Bachelor’s degree

Tools

PowerPoint

CRM systems

Virtual meeting tools

Job description

Job Title: Field Reimbursement Manager (FRM) - Remote with Territory Travel

Location: Remote -must be located in a big metropolitan area

Travel: Up to 80% (4 days/week) via automobile or air

Position Overview

We are seeking a Field Reimbursement Manager (FRM) to support access and reimbursement services for a specialty pharmaceutical product. In this client-facing, remote-based role, you will work directly with physician offices and manufacturer partners to resolve reimbursement challenges and deliver critical education on payer landscapes and available support services. The FRM acts as a trusted advisor and key liaison between healthcare providers, specialty pharmacies, and internal patient support services. This is a high-visibility, fast-paced role that demands a strong understanding of medical reimbursement, Medicare and commercial payers, and buy-and-bill or specialty pharmacy distribution models.

Key Responsibilities

• Field & Virtual Education (35%) - Deliver on-site or virtual training and education to healthcare providers and staff on reimbursement processes, including lunch-and-learns and scheduled presentations. Log all activity in CRM daily.
• Benefit & Access Education (25%) - Educate providers on benefit verification, prior authorization, payer trends, and support center services. Document and report all interactions as required by the client.
• Reimbursement Support (20%) - Assist offices with claims, billing and coding, appeals, medical benefit interpretation, and co-pay or patient assistance programs. Coordinate closely with case managers for resolution.
• Territory Management (10%) - Manage a schedule of outbound calls, appointment setting, and in-office follow-ups. Collaborate with manufacturer field teams to ensure seamless communication and data sharing.
• Program Performance Monitoring (10%) - Track territory metrics in CRM, analyze trends, and contribute to quarterly reporting and customer satisfaction feedback as needed.

Qualifications

• Bachelor’s degree or equivalent experience
• 8+ years in healthcare reimbursement (Buy & Bill, Specialty Pharmacy)
• Knowledge of Medicare & commercial insurance
• Strong communication, customer service, and organizational skills
• Proficient with PowerPoint, CRM systems, and virtual meeting tools
• Valid driver’s license; must be able to travel up to 80%

Preferred Qualifications

• Field reimbursement or specialty pharmacy experience
• Account management or pharmaceutical industry experience

Working Conditions

• Remote/Work-from-Home (must reside within the assigned territory)
• Travel required up to 80% (valid driver’s license and clean MVR required)

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
• Flexibility to choose the type of coverage that meets individual needs
• Eligibility 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

Equal Opportunity Employer/Veterans/Disabled

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