Field Reimbursement Manager (FRM)

The Adecco Group; Boston (MA); Remote; USD 90,000 - 120,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

401K plan

Paid Sick Leave

Job summary

A national staffing agency is seeking a Field Reimbursement Manager (FRM) for a remote position based in Boston, MA. The role involves supporting healthcare providers regarding reimbursement challenges for a specialty pharmaceutical product, with responsibilities including education, claims support, and territory management. Candidates should have extensive experience in healthcare reimbursement and excellent communication skills. The position includes up to 80% travel and offers various benefits, including medical coverage and flexible leave options.

Qualifications

• 8+ years in healthcare reimbursement (Buy & Bill, Specialty Pharmacy) required.
• Valid driver's license and ability to travel up to 80%.
• Field reimbursement or specialty pharmacy experience preferred.

Responsibilities

• Deliver education on reimbursement processes to healthcare providers.
• Assist offices with claims, billing, and coding.
• Manage territory schedule and ensure communication with manufacturer teams.
• Track metrics in CRM and analyze trends.

Skills

Healthcare reimbursement expertise

Strong communication skills

Organizational skills

Customer service skills

Knowledge of Medicare & commercial insurance

Education

Bachelor’s degree or equivalent experience

Tools

PowerPoint

CRM systems

Virtual meeting tools

Job description

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

Location: Remote – Must reside in Boston, MA

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)

Benefits:

• 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

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements.