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Roche

Field Reimbursement Manager, Texoma Ecosystem

Roche

. Partner with healthcare decision-makers, billing managers, and practice leaders to eliminate operational bottlenecks and streamline reimbursement pathways .

Posted 10/30/2026full-timeOklahoma City • Oklahoma • United StatesSeniorLead💰 $153,800 - $285,600 per yearWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managed care, reimbursement mechanics, and patient access optimization within the healthcare and pharmaceutical sectors. Proven ability to develop educational frameworks and execute business plans that enhance health equity and streamline operational processes.

Highest-signal resume keywords
Managed Care ExperienceReimbursement MechanicsPrior Authorization HandlingBilling Environment ExpertisePayer Negotiation Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Healthcare Decision-MakingOperational Bottleneck ResolutionPatient Access Case ResolutionFormulary ManagementSpecialty Pharmacy FulfillmentPractice Management OperationsPayer Policy NavigationAccess Disparity ReductionEducational Framework DevelopmentBusiness Plan Execution
Soft Skills
Communication SkillsCollaboration SkillsProblem-Solving Skills
Industry Keywords
HealthcarePharmaceuticalBiotechnologyLife SciencesPublic/Private Payer FrameworksBuy-and-Bill DistributionClinical Practice ManagementPharmacy AdministrationRegulatory ComplianceHealth Equity

About the role

Key responsibilities & impact
  • Partner with healthcare decision-makers, billing managers, and practice leaders to eliminate operational bottlenecks and streamline reimbursement pathways
  • Resolve complex patient access cases involving payer policies, prior authorization, step therapy, and appeals
  • Serve as a conduit between field ecosystem teams and Home Office functions, communicating shifts in local payer practices
  • Develop and implement educational frameworks for ecosystem partners, Therapeutic Area Managers, and case managers
  • Execute localized ecosystem business plans to expand health equity, reduce access disparities, and achieve measurable access milestones
  • Share best practices across the national Reimbursement Community of Practice
  • Ensure customer engagements comply with Promotional Review Committee approvals and regulatory guidelines
  • Navigate coverage frameworks and consult with health system administrators and practice leaders to optimize patient access journeys

Requirements

What you’ll need
  • Bachelor’s degree, at minimum
  • 8+ years of experience in the healthcare, pharmaceutical, biotechnology, or life sciences industry
  • Minimum of 5 or more years of experience with managed care, public/private payer frameworks, and reimbursement mechanics within pharma/biotech, large-scale clinical practice management, or pharmacy administration in hospital/specialty clinics directly working with managed care and reimbursement at scale
  • Experience handling prior authorizations, formularies, and payer negotiations
  • Demonstrated expertise in billing environments, Buy-and-Bill distribution, specialty pharmacy fulfillment, and practice management operations
  • Candidates must live within the ecosystem for consideration
  • Significant driving of either a company-provided or personal vehicle
  • Ability to meet motor vehicle eligibility requirements for driving on Company business

Benefits

Comp & perks
  • Incentive compensation calculated and paid in accordance with the applicable Incentive Compensation Plan
  • Benefits detailed at the link provided below
  • Company-provided vehicle may be available for eligible driving on Company business