Senior Field Reimbursement Manager (Remote)

BioTissue; Miami (FL); Remote; USD 139,000 - 200,000; Full time

Benefits offered by this job

Medical, Dental, Vision Insurance

401(k) Retirement Savings Plan

Paid Time Off

Parental Leave

Tuition Reimbursement

Job summary

BioTissue is seeking a Sr. Manager, Reimbursement (Remote) to bridge payers, providers, and patients across BioTissue’s regenerative programs.

The role partners with physician practices to support patient access and reimbursement, covering coding, prior authorizations, and claims management. The ideal candidate will have 5+ years in market access or related fields, strong payer policy knowledge, and the flexibility to travel up to 60%.

Qualifications

• Bachelor’s degree in a related field; Master’s preferred.
• 5+ years of market access, specialty pharmaceuticals or surgical devices experience.
• 3+ years of direct experience in reimbursement, payer policy, or healthcare policy is preferred.
• Experience in eyecare or ophthalmology is advantageous.
• Expertise with physician-administered injectables and/or medical devices, including CPT/J-codes, buy‑and‑bill, and payer interactions.
• Experience navigating Medicare, Medicare Advantage, commercial, and Medicaid payers.
• Willingness to travel ~60% for territory coverage and trainings.

Responsibilities

• Partner with commercial and 3rd party teams to remove barriers to patient access.
• Educate Sales teams and providers on benefit verification, prior authorizations, and cost-sharing.
• Lead calls, webinars, and virtual office hours on payer policies and denial trends.
• Act as primary reimbursement resource for field reps to drive utilization and payer confidence.
• Collaborate with Market Access leadership to develop coding guides and payer updates.
• Guide coding, payer policies, claims approvals, and appeals for denials/underpayments.
• Monitor payer policy changes and escalate issues affecting patient access.
• Lead business and claims reviews with leadership.
• Maintain relationships with regional and national payer landscapes.

Job description

BioTissue is seeking a Sr. Manager, Reimbursement (Remote) to bridge payers, providers, and patients across BioTissue’s regenerative programs.

The role partners with physician practices to support patient access and reimbursement, covering coding, prior authorizations, and claims management. The ideal candidate will have 5+ years in market access or related fields, strong payer policy knowledge, and the flexibility to travel up to 60%.