Remote Field Reimbursement Manager - Rare Diseases

Recordati; Sacramento (CA); Remote; USD 90,000 - 130,000; Full time

Job summary

Recordati Rare Diseases, Inc. (RRD) seeks a Field Reimbursement Specialist to support payor policy, coverage decisions, and access for our rare disease therapies in the U.S. This remote role requires strong collaboration with care teams, prior authorization guidance, and education for HCP offices.

It involves travel 30-40% and working within a compliant, ethical framework. You will partner with cross-functional teams to develop account plans and analyze payer trends while maintaining high

Qualifications

• Bachelor’s degree in healthcare or related field is required.
• Experience in field-based role working with provider offices and/or patient support HUB services.
• Minimum of five to seven years in healthcare/pharma industry.
• Minimum of three years field reimbursement experience.
• Minimum of two years working with buy and bill and/or specialty pharmacy networks.
• Ability to analyze and interpret regulations and legislation regarding coding, coverage and reimbursements.
• Experience with reimbursement processes (buy-and-bill, prior authorization, coding, and appeals).
• Strong problem-solving and communication skills, with ability to present to healthcare staff.

Responsibilities

• Partner with cross-functional teams on territory strategy to enhance payer knowledge and access.
• Serve as a subject matter expert on coverage, access and reimbursement for company therapies.
• Coordinate with HCP staff and Specialty Pharmacy on prior authorizations or appeals.
• Act as reimbursement expert for regional access landscape including payer policies and denials.
• Collaborate on case management needs related to HCP education on reimbursement issues.
• Collect field insights on payer trends to inform internal stakeholders.
• Develop and execute account plans using internal data and resources.
• Maintain compliance with laws, regulations and the company code of ethics.

Skills

Relationship building

Communication skills

Planning & organizing

Microsoft Office

Travel readiness

Ethical standards

Education

Bachelor’s degree

Job description

Recordati Rare Diseases, Inc. (RRD) seeks a Field Reimbursement Specialist to support payor policy, coverage decisions, and access for our rare disease therapies in the U.S. This remote role requires strong collaboration with care teams, prior authorization guidance, and education for HCP offices.

It involves travel 30-40% and working within a compliant, ethical framework. You will partner with cross-functional teams to develop account plans and analyze payer trends while maintaining high