Field Reimbursement Manager, Southern California
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Job Description
Field Reimbursement Manager focused on patient access barriers for Ascendis products in Southern California. Collaborating with stakeholders to support healthcare provider workflows.
Responsibilities:
- Act as a compliant subject matter expert (SME) in reimbursement, access, and specialty distribution for assigned geography.
- Provide education to HCP offices on coverage status, prior authorization processes, appeals, and alternate funding options for uninsured/underinsured patients.
- Build and maintain productive relationships with HCPs, office staff, and health system stakeholders.
- Analyze regional and local payer coverage trends, reimbursement criteria, and payer mix.
- Provide guidance on specialty pharmacy services and help customers navigate complex distribution channels.
- Partner with the Patient Support team to ensure accurate benefit investigations and streamlined patient onboarding.
- Collaborate with internal partners to build local access strategies aligned with business objectives.
- Develop and execute territory-level business plans using strategic customer insights.
- Participate in field-based problem-solving, including reimbursement issue resolution and case escalation when needed.
- Identify process improvements and innovations to enhance patient access and provider satisfaction.
- Maintain compliance with legal, regulatory, and company policies, especially those governing patient privacy and promotional conduct.
Requirements:
- **Bachelor’s degree in an allied health field prefer**red or equivalent work experience.
- 8+ years of experience in the pharmaceutical, biotech, or related healthcare industry.
- **Previous Reimbursement Experience Required:** Candidates should have substantial experience with prior authorizations and navigating the US payer landscape.
- 3–6 years of **experience supporting** **Specialty Pharmaceuticals/Biologics**.
- Deep understanding of reimbursement, access, and specialty pharmacy operations.
- Experience supporting product launches or guiding patients through insurance approval processes.
- Strong understanding of **Specialty Pharmacy distribution models** and patient services programs.
- Knowledge of **HIPAA** and other federal/state laws governing patient confidentiality and healthcare communications.
- **Bilingual skills are highly desired (English/Spanish)**.
- Proven track record supporting complex therapies in rare or specialty conditions
- Exceptional communication and interpersonal skills with the ability to build trust with providers, and internal partners.
- Comfort navigating ambiguity, managing multiple cases simultaneously, and solving problems in real time.
- Digital fluency with CRM platforms and comfort educating patients on technology-enabled support tools, including AI-based platforms.
Benefits:
- 401(k) plan with company match
- Medical, dental, and vision plans
- Company-offered Life and Accidental Death & Dismemberment (AD&D) insurance
- Company-provided short and long-term disability benefits
- Unique offerings of Pet Insurance and Legal Insurance
- Employee Assistance Program
- Employee Discounts
- Professional Development
- Health Saving Account (HSA)
- Flexible Spending Accounts
- Various incentive compensation plans
- Accident, Critical Illness, and Hospital Indemnity Insurance
- Mental Health resources
- Paid leave benefits for new parents
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