Field Reimbursement Manager, Wisconsin

argenx US

Milwaukee (WI)

On-site

USD 90,000 - 130,000

Full time

4 days ago
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Job summary

argenx US is seeking a Field Reimbursement Manager (FRM) based in Wisconsin to serve as the primary reimbursement and patient access expert for healthcare providers within the assigned territory.

You will educate providers on coverage policies, prior authorizations, and billing processes, and develop account-specific access strategies to overcome reimbursement challenges while collaborating across Patient Services, Market Access, and other teams to optimize patient outcomes.

Qualifications

  • Bachelor's degree or equivalent experience.
  • 5+ years of reimbursement experience.
  • Experience with medical and pharmacy benefit reimbursement models.
  • Strong customer engagement and cross-functional collaboration.
  • Ability to navigate payer landscape, prior authorizations, and appeals processes.

Responsibilities

  • Serve as the primary reimbursement and patient access resource for healthcare providers and staff within the assigned territory.
  • Educate customers on patient access, reimbursement, coverage policies, prior authorizations, claims, appeals, billing and coding considerations.
  • Develop account-specific access strategies and guidance on reimbursement challenges.
  • Manage complex reimbursement issues and escalations with urgency and professionalism.
  • Collaborate with internal stakeholders to address access barriers and improve patient outcomes.

Skills

Relationship building
Reimbursement knowledge
Payer policy understanding
Account management
Strategic thinking
Cross-functional collaboration
Healthcare access navigation

Education

Bachelor's degree or equivalent

Tools

CRM software
Data analytics tools

Job description

Join us as we transform immunology and deliver medicines that help autoimmune patients get their lives back. argenx is preparing for multi-dimensional expansion to reach more patients through a rich pipeline of differentiated assets, led by VYVGART, our first-in-class neonatal Fc receptor blocker approved for the treatment of gMG, and with the potential to treat patients across dozens of severe autoimmune diseases.

We are building a new kind of biotech company, one that maintains its roots as a science-based start-up and pushes our commitment to innovate across all corners of our business. We strive to inspire and grow our company, our partnerships, our science, and our people, because when we do, we deliver more for patients.

argenx is a global immunology company committed to improving the lives of people suffering from severe autoimmune diseases and cancer. Partnering with leading academic researchers through its Immunology Innovation Program (IIP), argenx aims to translate immunology breakthroughs into a world-class portfolio of novel antibody-based medicines. argenx is evaluating efgartigimod in multiple serious autoimmune diseases. argenx is also advancing several earlier stage experimental medicines within its therapeutic franchises. argenx has offices in Belgium, the United States, Japan, and Switzerland.

The Field Reimbursement Manager (FRM) serves as a trusted partner to healthcare providers and office staff, helping optimize patient access to the argenx portfolio across both the medical and pharmacy benefit channels. This customer-facing role is responsible for delivering reimbursement education, access support, and patient services expertise to healthcare providers and their staff while navigating the evolving payer landscape.

The FRM proactively engages healthcare providers through live, in-person interactions and virtual engagements to support patient access, reimbursement education, and account-specific access strategies. The role requires a deep understanding of commercial and government payer policies, benefit design, prior authorization requirements, claims adjudication, appeals processes, and site-of-care considerations.

Success in this role requires exceptional relationship-building skills, strong strategic thinking, and a commitment to cross-functional collaboration. The FRM partners closely with Patient Support Services, Regional Account Directors, Distribution, Market Head, Business Leader, Market Access, and other internal stakeholders to deliver a seamless customer experience and help remove barriers to therapy access.

The ideal candidate possesses extensive experience supporting specialty therapies under both medical and pharmacy benefit reimbursement models and thrives in a fast-paced, highly visible environment focused on customer engagement and patient outcomes.

Candidate must reside in the Wisconsin area.

Key Accountabilities/Responsibilities:
Customer Engagement, Access & Reimbursement Support

Serve as the primary reimbursement and patient access resource for healthcare providers and staff within the assigned territory, building trusted relationships through in-person and virtual engagement.

Educate customers on patient access, reimbursement, coverage policies, prior authorizations, claims, appeals, billing and coding considerations, specialty pharmacy processes, and available patient support resources.

Develop account-specific access strategies, provide guidance on reimbursement challenges, and help providers navigate access barriers in accordance with company policy.

Manage complex reimbursement issues and escalations with urgency and professionalism while sharing customer insights and payer trends to inform business strategy and improve the provider and patient experience.

Cross-functional Collaboration

Partner with Patient Services, Case Management, Market Head, Business Leader, Market Access, and other stakeholders to address access barriers, coordinate account strategies, and deliver a consistent customer experience.

Participate in case reviews, escalation management, and ongoing collaboration to support timely patient access and organizational learning.

Territory & Business Management
  • Utilize CRM tools, data analytics, and reporting to document activities, identify opportunities, track performance, and effectively manage territory priorities and travel.
Operational Excellence

Demonstrate a proactive, solutions-oriented approach to addressing patient access challenges.

Navigate complex account dynamics, manage conflict constructively, and collaborate effectively to achieve positive outcomes for patients, providers, and the organization.

Conduct all activities in full compliance with applicable laws, regulations, company policies, and argenx values.

Desired Skills and Experience: Bachelor's degree or equivalent experience, with 5+ years of reimbursement,

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