Adecco is assisting a local client recruiting Field Reimbursement Manager Opportunities which is remote in NY. This is an excellent opportunity to join a winning culture and get your foot in the door with a Company that is an American company distributing pharmaceuticals and providing health information technology, medical supplies, and care management tools. 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:
Responsibilities for Field Reimbursement Manager Include but are not limited to:
The Field Reimbursement Manager (FRM) is responsible for managing an assigned territory focused on supporting 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 manufacture 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
Act as a strategic reimbursement advisor and primary liaison for healthcare providers, proactively identifying and resolving complex access and reimbursement barriers for assigned therapies.
Lead the resolution of high-impact reimbursement cases by overseeing benefit investigations, prior authorizations, claims escalations, and appeals, ensuring timely patient access.
Design and deliver advanced payer insights tailored to provider needs, incorporating evolving policy trends and access strategies across remote and in-person platforms.
Cultivate and expand strategic partnerships with key provider offices and manufacturer stakeholders to align support services with evolving customer and market dynamics.
Drive cross-functional collaboration with internal hub operations, analytics, and client teams to optimize service delivery and elevate the provider and patient experience.
Plan and facilitate high-value site engagements, including manufacturer-sponsored training and regional educational forums, to enhance provider readiness and adoption.
Serve as a subject matter expert on Medicare and commercial payer structures, translating complex benefit data into actionable insights for stakeholders.
Represent the FRM function in field-based initiatives, territory planning, and stakeholder engagement strategies to maximize visibility and impact.
Oversee territory-level project execution and account coordination, ensuring alignment with client KPIs, compliance standards, and program milestones.
Operate with a high degree of autonomy in a dynamic, client-facing environment, consistently delivering results under tight timelines and shifting priorities.
Lead documentation and reporting of all field activities in the FRM CRM system, ensuring data integrity and visibility for internal and client stakeholders.
Candidates for Field Reimbursement Manager must meet the following requirements to be considered:
Minimum Job Qualifications Education/Training:
4-year degree in related field or equivalent experience Business Experience:
Entry-level experience in project management
Minimum of 8 yearsโ healthcare related reimbursement experience
Strong medical reimbursement experience with Buy & Bill and/or Specialty Pharmacy.
Experience supporting program specific drug therapy space, i.e., oncology, dermatology, etc.
Experience in the healthcare industry including, but not limited to insurance verification, prior authorizations, and/or claim adjudication, physicianโs office or clinics.
Must have Medicare and commercial insurance coverage experience.
Must be able to deliver and document benefit investigation outcomes and relay status reports on a regular basis.
Strong customer service experience
Proven presentation skills and experience
Ability to effectively handle multiple priorities within a changing environment.
Excellent organizational skills
Strong Computer literacy to include PowerPoint and Web Meeting experience. Specialized
Previous field experience, a plus
Previous experience with specialty pharmacy a plus
Account management experience, a plus
Excellent Interpersonal skills.
Excellent written and oral communication skills.
Problem solving and decision-making skills.
What's in this Field Reimbursement Manager position for you?
Pay: $57.24 /HRS.
Shift: 8:00 AM - 5:00PM (Hybrid)
Weekly paycheck
Dedicated Onboarding Specialist & Field Reimbursement Manager.
Access to Adeccoโs 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 with Adecco, apply today!
Pay Details: $55.00 to $57.00 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/DisabledMilitary connected talent encouraged to apply
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