Reimbursement Lead for Radiopharmaceuticals

Jubilant Pharma Limited; Home (KS); On-site; USD 120,000 - 150,000; Full time

Benefits offered by this job

Remote-friendly work policy

Job summary

Jubilant Radiopharmacies seeks a Manager of Reimbursement to guide access for radiopharmaceuticals, including PET imaging. You’ll work with hospitals, imaging centers, and clinics to optimize coding, coverage, and payment with payers across Medicare, Medicaid, and commercial plans.

You will lead field-based support, train providers, and analyze payer trends to inform business decisions while ensuring regulatory compliance and accurate documentation.

Qualifications

• Bachelor’s degree in Healthcare Administration, Business, Life Sciences, or related field.
• CPC, CCS, CRCR, CHFP, or CCA certification preferred.
• 5+ years of reimbursement, market access, or revenue cycle experience.
• Strong knowledge of Medicare and commercial payer systems.
• Working knowledge of coding and billing (HCPCS, CPT, ICD-10).
• Experience in nuclear medicine, PET imaging, or radiopharmaceuticals preferred.

Responsibilities

• Serve as SME on reimbursement for radiopharmaceuticals, including PET imaging and theranostics.
• Partner with commercial sales teams to support customer access, utilization, and reimbursement issue resolution.
• Provide field-based reimbursement support to hospitals, imaging centers, and physician practices.
• Educate providers and staff on coding (HCPCS, CPT, ICD-10), billing practices, and coverage requirements.
• Deliver training through webinars and customer engagements.
• Interpret and communicate CMS guidance, including OPPS and MPFS reimbursement frameworks.
• Analyze payer policies, prior authorization trends, and reimbursement changes.
• Support denials, appeals, and claims escalation activities.
• Collaborate with cross-functional teams, including Sales, Market Access, Compliance, and Finance.
• Analyze reimbursement trends and provide insights to support business decisions.
• Ensure compliance with healthcare regulations and documentation standards.

Skills

Reimbursement concepts

Market access

Communication

Problem solving

Education

Bachelor’s degree in Healthcare Administration / Life Sciences

Tools

HCPCS, CPT, ICD-10 coding

Job description

Jubilant Radiopharmacies seeks a Manager of Reimbursement to guide access for radiopharmaceuticals, including PET imaging. You’ll work with hospitals, imaging centers, and clinics to optimize coding, coverage, and payment with payers across Medicare, Medicaid, and commercial plans.

You will lead field-based support, train providers, and analyze payer trends to inform business decisions while ensuring regulatory compliance and accurate documentation.