Field Reimbursement Manager Baltimore MD
The company delivers a third of all pharmaceuticals used in North America. If Field Reimbursement Manager sounds like something you would be interested in, and you meet the qualifications listed below, apply now!
Responsibilities for Field Reimbursement Manager include but are not limited to:
- Act as a strategic reimbursement advisor and primary point of contact for healthcare providers, identifying and resolving complex reimbursement and access barriers.
- Lead the resolution of high-priority reimbursement cases, including:
- Ensure timely patient access to prescribed therapies through effective case management and stakeholder coordination.
- Interpret Medicare and commercial insurance coverage policies and communicate actionable reimbursement guidance to providers.
- Develop and maintain strong relationships with healthcare providers, office staff, manufacturer partners, and other key stakeholders.
- Deliver customized payer insights and reimbursement education based on evolving healthcare policies and access trends.
- Conduct virtual and in-person meetings, presentations, and educational programs to enhance provider understanding and adoption of therapies.
- Plan and facilitate manufacturer-sponsored training sessions, regional educational forums, and site engagements.
- Manage assigned territory activities and account initiatives to achieve client objectives and performance metrics.
- Support territory planning and field-based stakeholder engagement strategies.
- Coordinate account-level projects while ensuring alignment with program milestones, compliance requirements, and service expectations.
- Operate independently in a fast-paced environment with changing priorities and deadlines.
- Partner with internal hub operations, analytics teams, client services, and manufacturer stakeholders to optimize program performance.
- Provide reimbursement expertise and field insights to support continuous process improvement.
- Collaborate across departments to enhance provider satisfaction and patient experience.
- Accurately document all field activities and customer interactions within the FRM CRM system.
- Maintain data integrity and provide ongoing status updates, reimbursement reports, and benefit investigation outcomes.
- Ensure compliance with all company, client, and regulatory requirements.
Candidates for Field Reimbursement Manager must meet the following requirements to be considered:
- Minimum 8 years of healthcare reimbursement experience.
- Experience with Buy & Bill and/or Specialty Pharmacy reimbursement models.
- Experience supporting specialty therapies such as Oncology, Dermatology, Immunology, Rare Disease, or related therapeutic areas.
- Experience in insurance verification, prior authorizations, claims adjudication, reimbursement support, physician offices, clinics, or specialty pharmacy environments.
- Strong working knowledge of Medicare and Commercial payer coverage policies.
- Entry-level project management experience required.
- Proven customer service and provider-facing experience.
- Experience presenting to healthcare stakeholders and conducting educational programs.
- Pay: $ 46.92-58.17/hr.
- Shift: 8:00 AM-5:00 PM Mon- Fri
- Baltimore, MD(Remote)
- Weekly paycheck
Dedicated Onboarding Specialist & Recruiter · Access to Adecco’s Aspire Academy with thousands of free upskilling courses.
This Field Reimbursement Manager is being recruited by one of our Centralized Delivery Team and not your local Branch. For instant consideration for this Field Reimbursement Manager position and other opportunities Baltimore, MD(Remote) apply today!
Pay Details: $46.92 to $58.17 per hour
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs.In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
Military connected talent encouraged to apply
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The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
- The California Fair Chance Act
- Los Angeles City Fair Chance Ordinance
- Los Angeles County Fair Chance Ordinance for Employers
- San Francisco Fair Chance Ordinance
Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.