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Posted: 10/8/2026Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Specialty Pharmacy and Buy & Bill reimbursement, with a strong focus on strategic planning, team leadership, and compliance within the healthcare industry. Proven ability to drive performance through effective coaching, cross-functional collaboration, and stakeholder engagement.
Highest-signal resume keywords
Specialty Pharmacy ReimbursementField Reimbursement ManagementStrategic PlanningCross-Functional LeadershipCompliance Standards
About the role
Key responsibilities & impact- Lead, coach, develop, and retain a high-performing regional team of Field Reimbursement Managers
- Build a culture of accountability, collaboration, inclusion, trust, and positive momentum
- Establish performance expectations and ensure achievement of field KPIs, service-level expectations, customer engagement measures, and business objectives
- Meet field-time and coaching expectations and maintain field presence across the region
- Ensure consistent delivery of compliant reimbursement support and excellent customer and patient access experiences
- Develop and execute regional strategies based on payer, account, market, competitive, channel, and performance insights
- Coach FRMs on account management, analytical reasoning, resource prioritization, and access strategies
- Maintain team expertise across Specialty Pharmacy and Buy & Bill reimbursement channels
- Monitor payer dynamics, reimbursement policies, competitive landscape, channel trends, and stakeholder practices
- Lead compliant cross-functional collaboration with Sales, Key Account Management, Market Access, Medical, HUB, Operations, and Training
- Lead regional business reviews and performance discussions
- Identify, escalate, and help resolve systemic access, reimbursement, process, and operational issues
- Ensure compliance with business rules, policies, procedures, privacy requirements, and field reimbursement rules of engagement
- Partner with Training and Capability Development on onboarding and continuous development
- Drive regional planning, resource prioritization, expense management, CRM adoption, documentation, and escalation management
- Hire and onboard talent, build succession plans, and empower team growth
- Influence stakeholders across a complex matrix organization
Requirements
What you’ll need- Doctorate degree and 2 years of public or private third-party access arena or pharmaceutical industry in sales, managed care, or clinical support experience; OR Master’s degree and 4 years; OR Bachelor’s degree and 6 years; OR Associate’s degree and 10 years; OR High school diploma/GED and 12 years
- Five years of experience as a manager/first-line leader or demonstrated people leadership experience
- Three years of experience in public or private third-party access arena or pharmaceutical/biotechnology industry in field reimbursement, managed care, market access, clinical support, or related access role
- Expertise in Specialty Pharmacy and Buy & Bill reimbursement, including prior authorization, appeals/denials, coding, billing, claims, benefit design, and patient support programs
- Understanding of commercial payer, Medicare, and Medicaid access and reimbursement dynamics
- Ability to lead and coach account management, business planning, and customer engagement
- Strategic planning, analytical reasoning, and fact-based decision-making skills
- Ability to build team culture, establish accountability, and manage performance
- Cross-functional leadership and collaboration skills
- Commitment to ethical, legal, and compliance standards
- Presentation, facilitation, coaching, and communication skills
- Organizational and project management skills
- Experience using CRM and performance-management tools
- Healthcare industry experience
- Experience leading field reimbursement teams for specialty pharmaceutical or biologic products and/or launching products or indications
- Knowledge of managed care, government and federal payer sectors, integrated delivery networks, and regional payer dynamics
- Advanced knowledge of medical insurance terminology, CMS policies, reimbursement regulations, coding, coverage, and payment methodologies
- Valid driver's license with a clean driving record
- Ability to travel up to 60–80% by automobile or plane
Benefits
Comp & perks- Comprehensive employee benefits package
- Retirement and Savings Plan with generous company contributions
- Group medical, dental and vision coverage
- Life and disability insurance
- Flexible spending accounts
- Discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan
- Stock-based long-term incentives
- Award-winning time-off plans
- Flexible work models where possible
- Career development opportunities
- Financial plans with opportunities to save towards retirement or other goals
- Work/life balance support
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Analytical ReasoningAccount ManagementPerformance ManagementProject ManagementCodingBillingClaimsPrior AuthorizationPatient Support ProgramsBenefit Design
Soft Skills
CoachingCommunicationCollaborationPresentationFacilitation
Tools & Technologies
CRM ToolsPerformance-Management Tools
Industry Keywords
Healthcare IndustryManaged CarePublic Third-Party AccessPrivate Third-Party AccessMedicareMedicaidIntegrated Delivery NetworksRegional Payer DynamicsEthical StandardsCompliance Regulations