Field Reimbursement Manager (Hemophilia)

The Fountain Group; United States; Remote; Full time

Job summary

Une entreprise innovante dans le secteur de la santé recherche un Field Reimbursement Manager pour faciliter l'accès des patients au traitement de l'hémophilie. Ce rôle exige une collaboration étroite avec les professionnels de santé et nécessite des déplacements fréquents. Les candidats doivent avoir une solide expérience dans les systèmes de remboursement et une passion pour améliorer les résultats des patients.

Qualifications

• 4+ ans d'expérience en ventes pharmaceutiques ou en remboursement.
• Minimum de 2 ans d'expérience en remboursement sur le terrain.

Responsibilities

• Servir d'expert principal en remboursement et point de contact pour les prestataires de soins.
• Éduquer les prestataires sur les processus de remboursement et les programmes d'assistance financière.

Skills

Communication

Gestion des relations

Compréhension technique des J-codes

Compétences en conformité

Education

Bachelor’s degree (préférablement en Science, Healthcare, ou Business)

Tools

Systèmes CRM

Systèmes de suivi des remboursements

Job description

Job Title: Field Reimbursement Manager – Hemophilia

Location: Remote – Field Based (East and West regions)
Travel: Up to 75% (3–4 days/week)
Pay Rate: $64.90/hour
Duration: 1 year, potential to extend
Positions Available: 2 (East Coast & West Coast Regions)

Position Overview:

We are seeking two highly motivated and experienced Field Reimbursement Managers (FRMs) specializing in Hemophilia to support patient access, provider education, and reimbursement for innovative therapies. This field-based role requires significant travel and close collaboration with internal stakeholders, healthcare providers, and specialty pharmacies. The FRM will play a critical role in facilitating patient access and navigating complex reimbursement environments.

Key Responsibilities:

Reimbursement & Access Support

• Serve as the primary reimbursement expert and point of contact for HCPs and internal teams.
• Troubleshoot insurance issues, investigate out-of-pocket costs, and support benefits verification and prior authorizations in coordination with patient access hub.
• Provide support for appeals, claim denials, and reimbursement obstacles in collaboration with billing and coding personnel.
• Monitor healthcare policy changes and reimbursement trends affecting hemophilia products.
• Support launch and education efforts for newer hemophilia therapies.

Provider Engagement

• Educate providers on reimbursement processes, financial assistance programs, and patient access pathways.
• Deliver approved materials and coding guides to HCP offices.
• Work closely with patient liaisons, case managers, nurses, and billing staff to support access to therapies.
• Proactively resolve reimbursement barriers and escalate complex issues as needed.

Internal Collaboration & Reporting

• Partner with internal field teams (Sales, Market Access, Marketing) to share best practices and address geographic-specific challenges.
• Participate in training, team meetings, and cross-functional collaboration.
• Report reimbursement trends and field insights to leadership.
• Manage and track field activities through CRM and reimbursement tracking systems.
• Maintain responsibility for individual travel budgets and expense submissions.

Qualifications:

Required

• Bachelor’s degree (preferably in Science, Healthcare, or Business).
• 4+ years of pharmaceutical sales or reimbursement experience.
• Minimum 2+ years of field reimbursement experience (Buy & Bill and pharmacy model).
• In-depth understanding of US payer systems (Commercial, Medicare, Medicaid).
• Strong knowledge of HUB services, insurance processes, and reimbursement practices.
• Experience supporting access to specialty and rare disease therapies.

Preferred

• Experience in hemophilia or rare disease reimbursement.
• Understanding of the pharmaceutical manufacturing and distribution process.
• Advanced degree or healthcare certification is a plus.

Skills & Competencies:

• Strong communication and relationship-building skills with HCPs and internal teams.
• Technical understanding of J-codes, billing, prior authorizations, and appeals processes.
• Proficient with CRM and field reporting systems.
• Ability to work independently in a field-based role.
• Empathy and dedication to improving patient access and outcomes.
• Compliance knowledge including HIPAA and regulatory guidelines.

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