Reimbursement Access Manager II

Scorpion Therapeutics; Tennessee; On-site; USD 104,000 - 193,000; Full time

Benefits offered by this job

Comprehensive benefits

Job summary

Scorpion Therapeutics is seeking a senior access leader to guide reimbursement and market access for rare disease products. You will develop strategies, collaborate with Patient Access and Sales, and manage HUB/pharmacy partnerships to improve patient access.

The role demands deep knowledge of U.S. reimbursement, strong communication skills, and the ability to train teams while advancing pipeline readiness and payer relationships.

Qualifications

• Bachelor’s degree required; advanced degree a plus.
• 5+ years in pharma/biotech market access or reimbursement (rare disease/specialty preferred).
• Strong knowledge of U.S. reimbursement (Medicare/Medicaid/commercial).
• Experience with HUB services, payer policies, specialty pharmacies, and patient support programs.
• Coding/billing knowledge for rare disease (J-codes, CPT, ICD-10).
• Cross-functional, fast-paced multitasking; valid U.S. state driver’s license.

Responsibilities

• Serve as subject matter expert on reimbursement and access for rare disease products.
• Develop and execute strategies to overcome reimbursement barriers at patient and provider level.
• Partner with Patient Access/Sales teams to provide reimbursement education and support to HCPs.
• Manage specialty pharmacy partner relationships to ensure efficient patient access.
• Track/analyze reimbursement trends, payer policy changes, and competitive landscape.
• Respond to reimbursement inquiries from internal and external stakeholders.
• Collaborate with patient services to resolve escalated patient access issues.
• Train internal teams on reimbursement processes, coding, prior authorizations, denials, appeals.
• Support pipeline readiness (access materials and reimbursement tools).
• Provide expertise on trends/compliance to elevate Patient Access team performance.
• Support implementation of access strategies/programs; coach and mentor team members.
• Identify key HCPs needing support; conduct in-person meetings.
• Facilitate quarterly business reviews and presentations for high-touch offices.

Skills

Reimbursement strategy

Market access

Payer policies

Rare disease knowledge

Cross-functional leadership

Data analysis

Communication

Presentations

Project management

Education

Bachelor’s degree

Job description

Essential Job Functions

• Serve as subject matter expert on reimbursement and access issues for rare disease products.
• Develop and execute strategies to overcome reimbursement/access barriers at patient and provider level.
• Partner with Patient Access/Sales teams to provide reimbursement education and support to HCPs.
• Manage specialty pharmacy partner relationships to ensure efficient patient access.
• Track/analyze reimbursement trends, payer policy changes, and competitive landscape to inform market access strategies.
• Respond to reimbursement inquiries from internal and external stakeholders.
• Collaborate with patient services to resolve escalated patient access issues.
• Train internal teams on reimbursement processes, coding, prior authorizations, denials, appeals, and rare-disease payer nuances.
• Support pipeline readiness (access materials and reimbursement tools).
• Provide expertise on trends/compliance to elevate Patient Access team performance.
• Support implementation of access strategies/programs; coach and mentor team members.
• Identify key HCPs needing support; conduct in-person meetings.
• Facilitate quarterly business reviews and presentations for high-touch offices.

Skills & Qualifications

• Bachelor’s degree required (advanced degree a plus); 20+ years relevant experience may substitute.
• 5+ years in pharma/biotech market access or reimbursement (rare disease/specialty preferred).
• Strong knowledge of U.S. reimbursement (Medicare/Medicaid/commercial).
• Experience with HUB services, payer policies, specialty pharmacies, and patient support programs.
• Coding/billing knowledge for rare disease (J-codes, CPT, ICD-10).
• Cross-functional, fast-paced multitasking; valid U.S. state driver’s license.
• Competencies: communication, analytical/problem solving, presentations, collaboration, customer service, adaptability, professionalism.

Working Conditions

• Evening/weekend work as needed; periodic overnight travel; travel up to 25%.

Compensation/Benefits (as stated)

• Anticipated base salary range: $103,500–$193,200; comprehensive benefits (details at offer).