Field Reimbursement Manager - Chicago, IL

Ardelyx, Inc.; Chicago, Northern (IL, KY); On-site; USD 145,000 - 210,000; Full time

Benefits offered by this job

401(k) plan with employer match

Paid parental leave (12 weeks)

Equity incentive plans

Health plans (medical, prescription, d

Life insurance and disability

Job summary

Ardelyx, Inc. seeks a Field Reimbursement Manager to support patient access across gastroenterology products.

You will work with Field Sales and Patient Services to optimize payer strategies, prior authorizations, and denials management, ensuring timely access for patients. You will leverage data analytics and reimbursement expertise to identify barriers, coordinate with HUB and specialty pharmacies, and navigate Medicare, Medicaid, and commercial plans.

Qualifications

• B.A/B.S. with 6–9 years in field reimbursement or related pharma roles.
• 3–5 years as a field reimbursement manager in public or private settings.
• Extensive knowledge of medication access channels and payor systems.
• Strong knowledge of Medicare Part D, commercial, and Medicaid.
• GI products or providers experience preferred.

Responsibilities

• Establish and maintain collaborative relationships with Patient Services, Field Sales, and Providers to support patient access.
• Assist HCPs with education on prior authorization, appeals, denials, and coverage.
• Review patient information to resolve coverage challenges when appropriate.
• Identify, address and update barriers with internal/external stakeholders.
• Utilize HUB and specialty pharmacy partners to remove access barriers.
• Monitor patient start trends and coordinate with Field Sales and Patient Services to mitigate challenges.
• Maintain knowledge of payor market dynamics and distribution channels to support patient needs.
• Serve as SME on access and affordability across payer types (Medicare, Medicaid, Commercial).
• Adapt to healthcare ecosystem changes to customize resourcing and messaging to HCPs.

Skills

Field reimbursement

Patient services

Market access

Healthcare operations

Insurance knowledge

Relationship management

Data-driven decisions

Education

B.A./B.S. degree

Tools

Medicare knowledge

Specialty Pharmacy

Job description

Ardelyx is a commercial-stage biopharmaceutical company focused on redefining treatment approaches for patients with significant unmet medical needs. By combining scientific innovation with a collaborative, purpose-driven culture, we strive to create meaningful impact for patients.

Team Ardelyx is united by a shared mission and guided by our core values: Passionate, Fearless, Dedicated, and Inclusive.

We foster an inclusive environment where employees are respected, supported, and empowered to make an impact — both within our company and in the lives of patients we serve.

Position Summary:

The Field Reimbursement Manager (FRM) is responsible for supporting the patient access process for our gastroenterology business. The FRM will leverage his/her account management, data analytics, and reimbursement expertise and demonstrated experience to support and facilitate timely access to Ardelyx’s products! This role involves supporting products by executing the collaborative territory strategic plan, understanding the patient access process, and navigating patient support programs. The FRMs will collaborate with key team members such as Field Sales and other internal stakeholders to serve as access and reimbursement experts for assigned geographies. If you’d like to help establish Ardelyx as a leading company in the biopharma industry, one that advances patient care with novel therapies that meet important clinical needs, come join us!

Responsibilities:

• Establish and maintain collaborative working relationships with Patient Services Program Partners, Field Sales, and Healthcare Providers to support patient access
• Aid HCPs with supporting the patient journey by providing education on prior authorization, appeals, and/or denials
• Review patient-specific information in cases where the site has specifically requested assistance resolving any issues or coverage challenges when appropriate
• Partner with internal and external stakeholders to identify, anticipate and address patient and HCP access barriers; Implement updates/changes based on solutions generated to address barriers
• Utilize HUB and specialty pharmacy partners to ensure patient access barriers are removed
• Monitor patients start trends in assigned geographies/plans, and collaborate with Field Sales and Patient Services partners to proactively address and mitigate challenges
• Maintain knowledge of national, regional, local, and account market dynamics for payors and prescribers; maintain knowledge of HUB and specialty distribution channels to support patient needs
• Serve as subject matter expert regarding education and insights on access and affordability solutions across multiple payer types and plans (i.e., Medicare, Medicaid Managed Care, Commercial)
• Understands and adapts to the changing healthcare ecosystem to customize resourcing and messaging to HCPs and HCP staff

Qualifications:

• B.A/B.S. degree with 6 - 9 years of experience in field reimbursement, patient services, market access, or related functions within the pharmaceutical/biotech industry or equivalent experience
• 3 - 5 years of experience as a field reimbursement manager within public or private field reimbursement or access services, healthcare operations, and/or equivalent experience
• Extensive knowledge of medication access channels preferred
• Strong functional knowledge of specialty pharmacy and health insurance and benefits (i.e. Medicare Part D, commercial and Medicaid) with a demonstrated expert understanding of insurance eligibility, benefit verification, prior authorization processes, reimbursement coverage, appealing insurance denials, application of financial assistance, co-pay support and free product programs
• Knowledge of HCP office processes regarding patient flow, prescription flow and clinic office operations. Direct experience with GI products or providers preferred
• Outstanding customer relationship, interpersonal, and communication skills with the established ability to effectively work with diverse audiences and influence cross-functionally
• Ability to evaluate data and identify trends, barriers, and translate into actionable steps

Work Environment:

• This position reports to a Director, Field Access and Reimbursement
• Travel will vary by territory and business need
• Up to 75% of time spent in the field required

The anticipated annualized base pay range for this full-time position is $145,000-$210,000. Ardelyx utilizes industry data to ensure that our compensation is competitive and aligned with our industry peers. Actual base pay will be determined based on a variety of factors, including years of relevant experience, training, qualifications, and internal equity. The compensation package may also include an annual bonus target and equity awards, subject to eligibility and other requirements.

• 401(k) plan with generous employer match
• 12 weeks of paid parental leave
• up to 12 weeks living organ and bone marrow leave
• equity incentive plans
• health plans (medical, prescription drug, dental, and vision)
• life insurance and disability
• flexible time off
• annual Winter Holiday shut down
• at least 11 paid holidays

Ardelyx is an equal opportunity employer.