Field Reimbursement Manager – Rockies

Otsuka Pharmaceutical Companies (U.S.)

. Serve as the subject-matter expert on reimbursement, access, and coverage issues for products, primarily in Nephrology and potentially other therapeutic areas .

Posted 11/9/2026full-timeRemote • United StatesMid-LevelSenior💰 $150,034 - $224,250 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in reimbursement, access, and coverage issues within the Nephrology therapeutic area, with a strong understanding of payer policies and the US healthcare system. Capable of educating healthcare providers on claims submissions, coding requirements, and facilitating patient access through effective collaboration with internal and external stakeholders.

Highest-signal resume keywords

Payer Policy ExpertiseReimbursement ProcessesNephrology ExperiencePatient Access CoordinationCMS Policies Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Benefit VerificationPrior Authorization RequirementsBilling and CodingPayer Billing PracticesTraining and Presentations

Soft Skills

Excellent Communication SkillsInterpersonal AbilitiesOrganizational SkillsConsultative SkillsRelationship Building

Tools & Technologies

MS Office Suite

Certifications & Qualifications

Bachelor's DegreeValid Driver's License

Industry Keywords

Pharmaceutical IndustryHealthcare ProvidersPatient Support ServicesBuy and Bill EnvironmentMedicare Part D

About the role

Key responsibilities & impact

Serve as the subject-matter expert on reimbursement, access, and coverage issues for products, primarily in Nephrology and potentially other therapeutic areas
Act as a liaison between healthcare providers, internal teams, and external stakeholders to facilitate patient access to products
Educate healthcare providers and staff on access, coverage, reimbursement processes, claims submissions, and coding requirements
Analyze payer criteria and provide product access expertise to healthcare offices
Coordinate with Hubs on individual patient cases, patient support services, and enrollment
Collaborate with Field Sales, Specialty Pharmacy Accounts, and other matrix partners
Manage daily field-based activities, spending 60-70% of time interacting with key stakeholders across various care sites
Execute collaborative territory plans through internal and external partnerships
Review and educate offices on payer policies, including prior authorization requirements
Provide feedback to internal teams on local payer trends and access issues
Assist with patient-specific coverage challenges when requested by healthcare providers

Requirements

What you’ll need

Bachelor's degree required
Minimum 5 years of pharmaceutical industry experience, with focus on payer policy and reimbursement preferred
At least 3 years of experience in benefit verifications, prior-authorization requirements, or equivalent experience in patient access, billing, and coding in rare disease preferred
Strong knowledge of Centers for Medicare & Medicaid Services (CMS) policies and processes, especially Medicare Part D
Experience in "Buy and Bill" reimbursement environment
Nephrology experience strongly preferred
Comprehensive understanding of US healthcare system payer billing practices
Proficiency in MS Office suite
Excellent verbal and written communication skills
Strong interpersonal and consultative abilities
Self-directed with outstanding organizational skills
Ability to build and maintain strong relationships with internal and external customers
Proficient in delivering training and presentations
Ability to travel up to 60-70% domestically
Valid driver's license required

Benefits

Comp & perks

Comprehensive medical, dental, vision, and prescription drug coverage
Company-provided basic life insurance
Accidental death and dismemberment insurance
Short-term and long-term disability insurance
Tuition reimbursement
Student loan assistance
Generous 401(k) match
Flexible time off
Paid holidays
Paid leave programs
Other company-provided benefits
Incentive opportunity