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Field Reimbursement Manager
Job Requisition ID: 32742
Department: 804 S&M - Market Access (804)
Category: Commercial - Customer
Location:
US Field
Come and Save Lives with Us!
SERB is a fast-growing specialty pharmaceutical company that equips healthcare providers worldwide with life-saving medicines for patients facing rare conditions and emergencies.
For over 30 years we have consistently provided emergency medicines, medical countermeasures, and the world’s leading portfolio of antidotes.
Today SERB has over 500 employees in 18 countries and group revenue in excess of €400m. With a strong presence in the US, Europe, and the Middle East, along with a global network of trusted distribution partners, we make a broad range of essential medicines available in over 100 countries.
Having the right culture is as important to us as having the right portfolio. We are guided by our four values:
- We make patients our priority
- We act with accountability and integrity
- We work together as one team
- We look for better ways forward
By expanding our reach through selective acquisitions and entering new markets, we’re not just supplying medicine; we’re improving the standard of care for more patients around the world.
Broad Overview
The Field Reimbursement Manager (FRM) serves as a trusted reimbursement and access expert supporting healthcare providers, healthcare systems, and internal stakeholders in the rare disease and oncology space. This role focuses on optimizing patient access to therapies by providing education and support related to coverage, reimbursement, coding, billing, and patient assistance programs. The FRM works cross-functionally with Market Access, Sales, Medical Affairs, and Patient Services to reduce access barriers and improve the patient journey.
This individual will report into the Director of Reimbursement.
As Field Reimbursement Manager, your responsibilities will include:
Provider & Account Support
- Serve as the primary field-based reimbursement resource for oncology and rare disease providers, infusion centers, hospitals, and specialty pharmacies
- Educate healthcare providers and staff on payer coverage, prior authorization requirements, site-of-care considerations, and reimbursement pathways
- Provide guidance on coding, billing, claims submission, and appeals processes for buy-and-bill and specialty pharmacy-distributed products
- Assist accounts in navigating complex payer policies, including Medicare, Medicaid, and commercial payers
Patient Access & Support
- Support access to company-sponsored patient assistance, and co-pay programs in compliance with regulatory and legal guidelines
- Collaborate with patient services hubs and specialty pharmacies to resolve complex access or reimbursement challenges
- Identify and escalate systemic access issues and payer trends impacting patient access
Internal Collaboration & Strategy
- Partner with Sales, Market Access, and Medical Affairs to support account-specific access strategies without promotional influence
- Provide field insights related to payer policies, coverage trends, and reimbursement barriers
- Support product launches, formulary initiatives, and access pull-through strategies
Compliance & Education
- Ensure all activities are compliant with company policies, OIG guidance, FDA regulations, and industry standards
- Deliver compliant reimbursement education without engaging in promotional activities
- Maintain accurate documentation of field activities and customer interactions
Data, Reporting & Continuous Improvement
- Track and report reimbursement issues, payer trends, and case outcomes
- Utilize CRM and case management systems to document activities
- Participate in ongoing training to remain current on reimbursement, policy, and oncology/rare disease treatment landscapes
The above duties and responsibilities are not an exhaustive list, and you may be required to undertake any other reasonable duties compatible with your experience and competencies. This description may be varied from time to time to reflect changing business requirements.
To be successful in this role, you should demonstrate:
- Bachelor’s degree (Healthcare, Business, Life Sciences, or related field preferred) MBA preferred.
- Minimum 5+ years of experience in reimbursement, market access, patient services
- Experience supporting oncology and/or rare disease therapies
- Strong knowledge of payer landscapes including Medicare, Medicaid, and commercial plans
- Familiarity with buy-and-bill, specialty pharmacy distribution models, and site-of-care reimbursement
- Ability to travel extensively within assigned territory (70%)
- Experience in field-based reimbursement or access roles required
- Knowledge of oncology coding (J-codes, HCPCS, ICD-10, CPT) preferred
- Experience with hospital reimbursement pathways including outlier payment & NTAP.
- Experience working with patient support hubs and specialty pharmacies preferred
- Advanced understanding of rare disease access challenges preferred
Core Competencies:
- Deep understanding of reimbursement and payer policy complexity
- Strong communication and education skills
- Collaborative, cross-functional mindset
- Analytical problem-solving abilities
- High integrity and compliance-focused approach
Company Benefits
- Hybrid Working
- Auto Allowance
- Vacation, Personal and Sick time
- 15 Paid Company Holidays
- Medical, Dental, Vision and other Voluntary benefits
- Paid Parental Leave
- Tuition Assistance
- Discretionary Bonus Plan
- Competitive 401(k), $1 for $1 up to 6% of pay. The safe harbour match is vested immediately. In addition, SERB also offers a discretionary match of up to 4% of pay which vests 20% a year for 5 years.
Serb Pharmaceuticals is an equal opportunity employer. We offer competitive compensation & benefit packages, challenging opportunities and a culture of working together in a supportive way built on our strong foundation of values.
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