field reimbursement manager

McKesson

<div>McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve &ndash; we care.
What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow&rsquo;s health today, we want to hear from you.
The Field Reimbursement Manager (FRM) is responsible for managing an assigned territory focused on supporting Reimbursement and Patient services by providing assistance with patient reimbursement challenges for a specific drug (including Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client-facing and customer-facing and requires the ability to build relationships with physician offices as well as manufacturer representatives to effectively deliver services based on customer specific preferences. The Field Reimbursement Manager works independently in a fast paced, highly visible environment as well as collaboratively with the internal program hub support services to ensure all customer needs are met. FRM will frequently interact via telephone with providers and internal staff to arrange site visits, Manufacturer trainings, and educational training venues. Must have a solid working knowledge of Medicare and Commercial insurance plans and benefit structures in order to relay detailed benefit information and maximize the customer experience. Position will require travel, project management and/or account coordination based on client expectation.
Key Responsibilities:<ul><li>
Provide on-site and on-demand education (including Lunch and Learns or Dinner presentations) for the office staff in regard to Reimbursement challenges and support services that are available. Office interaction will include education and reimbursement support. On-site/virtual interactions will average 15 per week. These activities are recorded in FRM CRM daily with reporting to manager weekly.</li><li>
Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare and Commercial coverage and patient communication streams. Monthly activity reporting captures educational topics at FRM level reportable to client based on client expectation. This trended data is also reported quarterly to client.</li><li>
Reimbursement Support on Case management, billing and coding updates, appropriate claims submission, Specialty Pharmacy, Medical Benefit Interpretation, understanding medical necessity, claims and appeal assistance, information related to co-pay assistance and patient assistance programs. FRM will collaborate with case manager on average of 4/month and ad hoc as needed for escalations. These interactions are tracked in FRM CRM and hub system.</li><li>
Responsible for setting up appointments and completing outbound calls to targeted offices. Assist in completing backlog casework. Additional day-to-day in-office work. Interface with physicians and manufacturer representatives to obtain and provide patient and provider specific information. All FRM interactions/activities are tracked in FRM CRM which are reportable to management and client.</li><li>
Monitor program performance for physicians and manufacturer representatives in accordance with expectations. Territory performance will be monitored via FRM CRM dashboard daily. Trending results will be identified through quarterly reporting. Additionally, clients have the option to survey customers on program performance.</li><li>
Research and compile provider / manufacturer representative specific information for reimbursement database. (Includes account profiles) FRM will create a facility database on each new provider in FRM CRM. All interactions/activities are built utilizing this database.</li></ul>
Minimum Job Qualifications &ndash;
<ul><li>4-year degree in related field or equivalent experience</li><li>
4+ years of healthcare related reimbursement experience</li></ul> 
Business Experience &ndash;
<ul><li>Strong medical reimbursement experience with Buy &amp; Bill and/or Specialty Pharmacy.</li><li>
Experience in the healthcare industry including, but not limited to insurance verification, prior authorizations, and/or claim adjudication, physician&rsquo;s office or clinics.</li><li>
Must have Medicare and commercial insurance coverage experience.</li><li>
Must be able to deliver and document benefit investigation outcomes and relay status reports on a regular basis.</li><li>
Proven presentation skills and experience</li><li>
Proven ability to effectively handle multiple priorities and excellent organizational skills</li><li>
Strong Computer literacy to include PowerPoint and Web Meeting experience
</li></ul>Specialized Knowledge/Skills &ndash;
<ul><li>Previous field experience, a plus</li><li>
Previous experience with specialty pharmacy a plus</li><li>
Account management experience, a plus</li><li>
Excellent Interpersonal skills.</li><li>
Excellent written and oral communication skills</li><li>
Problem solving and decision-making skills</li></ul>
Travel Requirements &ndash;
Must reside in territory.
Must be able to travel 80% (4 days a week) via automobile or plane.
Must have a valid driver's license with a clean driving record/ MVR
Physical Requirements (Lifting, standing, etc.) &ndash;
Possible long periods of sitting and/or keyboard work. General office demands.
We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here.
Our Base Pay Range for this position
$76,300 - $127,100
McKesson has become aware of online recruiting-related scams in which individuals who are not affiliated with or authorized by McKesson are using McKesson&rsquo;s (or affiliated entities, like CoverMyMeds or RxCrossroads) name in fraudulent emails, job postings or social media messages. In light of these scams, please bear the following in mind: 
 
McKesson Talent Advisors will never solicit money or credit card information in connection with a McKesson job application. 
McKesson Talent Advisors do not communicate with candidates via online chatrooms or using email accounts such as Gmail or Hotmail. Note that McKesson does rely on a virtual assistant (Gia) for certain recruiting-related communications with candidates.
McKesson job postings are posted on our career site: careers.mckesson.com.
McKesson is an Equal Opportunity Employer 
McKesson provides equal employment opportunities to applicants and employees, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, genetic information, or any other legally protected category. For additional information on McKesson&rsquo;s full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page. 
McKesson welcomes and encourages applications from people with disabilities. Accommodations are available on request for candidates taking part in all aspects of the selection process. If you require accommodation please contact us by sending an email to Disability_Accommodation@McKesson.com.
Join us at McKesson!</div>

Field Reimbursement Manager

Syneos Health Commercial Solutions

<div>Description
The Field Reimbursement Specialist (FRS) will be responsible for the management of defined accounts in a specified geographic region in the ophthalmic therapeutic area, specifically supporting our client&rsquo;s products.
The FRS will execute the collaborative territory strategic plan through partnership with internal and external stakeholders, which may include call center services (HUB), sales, market access, and other collaboration partners. Responsibilities include ensuring understanding of reimbursement process, field reimbursement services, and patient support program. The Reimbursement Specialist will also work on patient-level reimbursement issue resolution, and thus will need access to be knowledge of and have had experience with patient health information (PHI).
Field Reimbursement Specialists manage daily activities that support appropriate patient reimbursement to our client&rsquo;s products in the provider offices and work as a liaison to other patient assistance and reimbursement support services offered by our clients. Activities include, but are not limited to:<ul><li>
Act as an extension of the product providing live one-on-one coverage support.</li><li>
Offer assistance from physician order to reimbursement, supporting the entire reimbursement journey through payer prior authorization to appeals/denials requirements procedures and forms.</li><li>
Reviewing patient-specific information in cases where the site has specifically requested the assistance in resolving any issues or coverage challenges.</li><li>
Reviewing patient insurance benefit options.</li><li>
Identifying alternate funding/financial assistance programs.</li><li>
Coordinating with our client&rsquo;s patient support services programs representatives.</li><li>
Educating physician office staff on the use of our client&rsquo;s patient assistance and call center support services, including web‑based provider programs.</li><li>
Provide information on relevant reimbursement topics related to our client&rsquo;s products.</li><li>
Serve as payer expert for defined geography and able to communicate changes to key stakeholders in a timely manner.</li><li>
Provide office support in accurate coding and billing for the client&rsquo;s products.</li></ul>
Minimum Qualifications &amp; Education:<ul><li>
Bachelor&rsquo;s degree required</li><li>
Minimum two years&rsquo; of access and reimbursement, managed care, and/or billing and coding support experience</li><li>
Experience working with Buy and Bill products and a thorough understanding of the entire reimbursement process from script to injection required</li><li>
Ophthalmic, retina specialists and biosimilar experience preferred</li><li>
Experience establishing relationships within a practice by working closely to help remove reimbursement barriers to specialty products for their patients</li><li>
Knowledge of Centers of Medicare &amp; Medicaid Services (CMS) policies and processes with expertise in Medicare Part D (Pharmacy Benefit design and coverage policy) a plus</li><li>
Knowledge of Managed Care, Government, and Federal payer sectors, as well as Integrated Delivery Network/Integrated Health Systems a plus</li><li>
Ability to travel and cover large multistate geography territories, 50% travel required</li><li>
Excellent presentation and project management skills</li></ul>
The annual base salary for this position ranges from $155,000 to $160,000. The base salary range represents the anticipated low and high of the Syneos Health range for this position. Actual salary will vary based on various factors such as the candidate's qualifications, skills, competencies, and proficiency for the role. In addition, some positions may include eligibility to earn commissions/bonus based on company and / or individual performance.
At Syneos Health, we are dedicated to building a diverse, inclusive and authentic workplace. If your past experience doesn&rsquo;t align perfectly, we encourage you to apply anyway. At times, we will consider transferable skills from previous roles. We also encourage you to join our Talent Network to stay connected to additional career opportunities.
Why Syneos Health? Our ability to collaborate and problem-solve makes a difference in patients&rsquo; lives daily. By joining one of our field access teams, you will partner with industry experts and be empowered to succeed with the support, resources, and autonomy needed to successfully navigate the complex reimbursement landscape. The diversification and breadth of our new and existing partnerships create a multitude of career paths and employment opportunities. Join our game-changing, global company dedicated to creating better, smarter, faster ways to get biopharmaceutical therapies to patients Experience the thrill of knowing that your everyday efforts are contributing to improving patients&rsquo; lives around the world.
Work Here Matters Everywhere | How are you inspired to change lives?
Syneos Health companies are affirmative action/equal opportunity employers (Minorities/Females/Veterans/Disabled)
Syneos Health has a voluntary COVID-19 vaccination policy. We strongly encourage all employees to be fully vaccinated. Additionally, certain local governments or Syneos Health customers may have vaccine requirements that apply to some of our employees. These employees are required to submit proof of vaccination to Syneos Health and maintain compliance with these requirements.
 
At Syneos Health, we believe in providing an environment and culture in which Our People can thrive, develop and advance. We reward and recognize our people by providing valuable benefits and a quality-of-life balance. The benefits for this position will include a competitive compensation package, Health benefits to include Medical, Dental and Vision, Company match 401k, flexible paid time off (PTO) and sick time. Because certain states and municipalities have regulated paid sick time requirements, eligibility for paid sick time may vary depending on where you work. Syneos Health complies with all applicable federal, state, and municipal paid sick time requirements. 
400003488</div>

Field Reimbursement Specialist

Enlyte

<div>Company Overview:
<div>
At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth.</div><div></div><div> 
Be part of a team that makes a real difference.</div>
Job Description:
<div>
This is a full-time, hybrid position. You must be located in the Columbus, IN area due to regular local travel (60% of the time) for in-person patient appointments.</div><div></div><div> 
Case Manager Perks: Mileage Reimbursement</div><div>
 Travel Reimbursement</div><div>
 Professional Time</div><div>
 Bonus Plan</div><div></div><div> 
Perks: Full and comprehensive benefits program, 24 days of paid vacation/holidays in your first year plus sick days, home office equipment including laptop and desktop monitor, mileage and travel reimbursement, Employee Assistance and Referral Program, and hands-on workers&rsquo; compensation case management training.</div><div></div><div> 
Join our compassionate team and help make a positive difference in an injured person&rsquo;s life. As a Field Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning. In this role, you will:</div><ul><li>
Demonstrate knowledge, skills, and competency in the application of case management standards of practice.
</li><li>Use advanced knowledge of types of injury, medications, comorbidities, treatment options, treatment alternatives, and knowledge of job duties to advise on a treatment plan.</li><li>
Interview disabled persons to assess overall recovery, including whether injuries or conditions are occupational or non-occupational.</li><li>
Collaborate with treating physicians/providers and utilize available resources to help create and implement treatment plans tailored to an individual patient.</li><li>
Work with employers and physicians to modify job duties where practical to facilitate early return to work.</li><li>
Evaluate and modify case goals based on injured/disabled person&rsquo;s improvement and treatment effectiveness.</li><li>
Independently manage workload, including prioritizing cases and deciding how best to manage cases effectively.
</li><li>Complete other duties, such as attend injured worker&rsquo;s appointments when appropriate, prepare status updates for submittal to customers, and other duties as assigned.</li></ul>
Qualifications:
<ul><li>Education: Associates Degree or Bachelor&rsquo;s Degree in Nursing or related field.</li><li>
Experience: 2+ years clinical practice preferred. Workers&rsquo; compensation-related experience preferred.</li><li>
Skills: Ability to advocate recommendations effectively with physicians/providers, employers, and customers. Ability to work independently. Knowledge of basic computer skills including Excel, Word, and Outlook Email. Proficient grammar, sentence structure, and written communication skills.</li><li>
Certifications, Licenses, Registrations:
<ul><li>Active Registered Nurse (RN) license required. Must be in good standing.</li><li>
URAC-recognized certification in case management (CCM, CDMS, CRC, CRRN or COHN, COHN-S, RN-BC, ACM, CMAC, CMC).
</li></ul></li><li>Travel: Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography.</li><li>
Internet: Must have reliable internet.</li><li>
Transportation: Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography.</li></ul>
Benefits:
<div>
We&rsquo;re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&amp;D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $70,000 - $75,000 annually. In addition to the base salary, you will be eligible to participate in our productivity-based bonus program. Your total compensation, including base pay and potential bonus, will be based on a number of factors including skills, experience, education, and performance metrics.</div><div> 
</div>The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
#LI-MC1 
<div></div><div>Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager, Medical Nurse Case Manager, Workers&rsquo; Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse, COHN, Certified Occupational Health Nurse, CMC, Cardiac Medicine Certification, CMAC, Case Management Administrator Certification, ACM, Accredited Case Manager, MSW, Masters in Social Work, URAC, Vocational Case Manager</div></div>

Medical Field Case Manager

EPM Scientific

<div>
 
 
 Regional Sales Manager - Midwest for Leading Diagnostics Company
 
 
 
 
 Genetics | Molecular Diagnostics | Women's Health | Oncology
 
 
 
 Midwest Region
 
 
 
 
 Base Compensation:
 
 
 $180,000
 
 + performance‑based annual bonus + benfits package
 
 
 
 Company Description
 
 
 
 A fast‑growing diagnostics company specializing in next‑generation genetic and molecular testing. The organization is known for its commitment to scientific rigor and its impact across women's health, oncology, and hereditary disease risk assessment. With a strong clinical foundation and partnerships across health systems and provider groups, the company delivers actionable insights that support earlier, more informed clinical decisions. As genetic testing continues to expand, this diagnostics company remains at the forefront with high‑quality testing solutions backed by evidence and modern technology.
 
 
 
 
 
 Role Description
 
 
 
 The
 
 Regional Sales Manager
 
 is a full‑time leadership role overseeing commercial performance across the Midwest. This person will manage a multi‑state team, build strong relationships with provider groups and health systems, and drive adoption of the company's diagnostic portfolio.
 
 
 
 Key responsibilities include:
 
 
 <ul>
 <li>
 Leading, developing, and supporting a team of Territory Managers and Account Executives to achieve regional revenue goals
 </li>
 <li>
 Building strong relationships with OB/GYN practices, MFM specialists, oncology groups, and integrated delivery networks (IDNs)
 </li>
 <li>
 Developing regional strategy using market insights, competitive intel, and territory planning
 </li>
 <li>
 Supporting major customer engagements, including presentations, business reviews, and clinical discussions
 </li>
 <li>
 Partnering with cross‑functional teams (Marketing, Medical Affairs, Market Access, Operations) to support customer needs and field effectiveness
 </li>
 <li>
 Managing regional forecasting, CRM accuracy, and sales performance reporting
 </li>
 <li>
 Identifying new growth opportunities within health systems, large group practices, and emerging segments
 </li>
 <li>
 Maintaining a strong understanding of reimbursement and patient access consideration
 </li>
 <li>
 Ensuring all activities are compliant with company policies, regulatory standards, and clinical guidelines
 </li>
 </ul>
 
 This role is ideal for a strategic commercial leader who enjoys managing teams, building provider relationships, and driving growth in a fast‑moving, science‑focused environment.
 
 
 
 
 
 Qualifications
 
 
 <ul>
 <li>
 
 5-8 years of sales experience
 
 in diagnostics, molecular testing, genomics, medical device, or related healthcare sectors
 </li>
 <li>
 
 2+ years of leadership experience
 
 , preferably managing a field team or multi‑territory region
 </li>
 <li>
 Proven ability to drive revenue growth and manage regional performance
 </li>
 <li>
 Strong communication, presentation, and relationship‑building skills
 </li>
 <li>
 Ability to analyze sales data, evaluate market conditions, and execute strategic plans
 </li>
 <li>
 Experience in OB/GYN, MFM, oncology, or specialty provider markets strongly preferred
 </li>
 <li>
 Understanding of healthcare reimbursement and access processes
 </li>
 <li>
 Ability to travel regularly within the region
 </li>
 <li>
 Bachelor's degree in Business, Life Sciences, Healthcare, or related field preferred
 </li>
 </ul>
</div>

Regional Sales Manager - Midwest

Search 10000+ Field reimbursement manager jobs near you this March. New roles added regularly across leading industries. Apply today.

10000 field reimbursement manager jobs Near Me

Field Reimbursement Manager

Field Reimbursement Specialist

Field Reimbursement Specialist

Field Reimbursement Specialist

Field Reimbursement Specialist

Medical Field Case Manager

Regional Sales Manager - Midwest