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Field Reimbursement Manager - Northwest

April 30, 2026

Job TitleField Reimbursement Manager - NorthwestRequisitionJR000015768 Field Reimbursement Manager - Northwest (Open)LocationSeattle, WAAdditional LocationsPortland, ORJob Description SummaryThe Field Reimbursement Manager (FRM) position is a critical front-line member of the Access and Reimbursement Team. The main driver of Patient Access is patients and assisting provider offices to help their patients get access to care to get them back to living their best lives. The FRM role is a field-based position whose job is to minimize access and reimbursement barriers for patients and providers. Within their geography, the FRM provides access and reimbursement education to physician office personnel, billing staff/companies, HCPs, as well as anyone involved in the process of utilizing the product with the intention of minimize barriers and increasing access to care. FRM education hones in on therapies, how to buy and bill our products, acquire through specialty pharmacies and educate on office processes. FRMs also support provider offices on a reactive basis by providing education and guidance in response to PA denials and claim denials and/or underpayments. The FRM will leverage all data analytic tools to minimize delay in receiving treatment by working with internal and external customers.Job DescriptionProvider Account Support<ul><li>Subject matter expert for all reimbursement/access and acquisition logistical aspects of a high touch biologic medication for an orphan disease and testosterone products with multiple acquisition options within a changing payer landscape. This includes: payer policies, prior authorization requirements, denial and appeal process, peer to peer, and other education required to navigate access for the appropriate patients.</li><li>Assists HCP offices with questions related to Buy/Bill BI management. Educate/Assist with Specialty Pharmacy (SP) understanding, expectations and logistics. Continually educate office staff on appropriate steps, educate on the importance of chart documentation, keep offices up to date on payer policies for products and triage issues to the appropriate HUB and SP.</li><li>Primary responsibilities include:</li><li>Managing patient assistance and reimbursement support services offered to providers and related to patient access to buy/bill products.</li><li>Coordinating with patient support services program representatives.</li><li>Educating office staff on the use of Buy/Bill products, patient assistance and reimbursement support services.</li><li>Participating in sales training related to product reimbursement.</li><li>Utilizing data to critically think through acquisition challenges from a variety of outlets including SP, Specialty Distributors and Title sales.</li><li>Assist new offices from a reimbursement perspective to inform them about reimbursement issues as well as providing education on various MARC approved resources pertaining to reimbursement, acquisition and coding.</li></ul><ul><li>Act in a compliant manner at all times.</li></ul>Specialty Pharmacy (SP) Support<ul><li>FRMs work closely with the external and internal customers to trouble shoot any SP related issues. FRMs work closely with their NAE partner to manage any customer related issues directly with the SP’s.</li><li>SP experience is critical. Each FRM should be an expert SP logistics and operations.</li><li>FRMs must be able to analyze data and know how to make that data into actionable steps to facilitate patient access to products.</li><li>Work closely with SP’s to understand logistical issues that arise and provide MARC approved resources and programs to facilitate patient access as well as communicate with SP’s to find resolutions to issues that arise at the SP.</li><li>Identify gaps in knowledge of accounts from a SP process and help provide education for the account and physician.</li><li>Develop short- and long-term account plans for key accounts with the goal of smoothing out the process of acquiring drug to optimize acquisition and patient journey.</li></ul>Internal Partnerships<ul><li>Consistent, reliable, timely and high-quality support of the field, as well as all other internal commercial functions. </li><li>Strong leadership role to the field teams by establishing a solutions oriented approach, working with your Sales Representatives/ASMs to build and execute local plans to overcome barriers to Buy/Bill products access. Specific examples include:</li><li>Identify in conjunction with the field, specific targeted accounts where the FRM will assist with product acquisition or SP dispense. </li><li>Partner with the ASMs to build local business plans; participate in district business reviews as the expert resource on the reimbursement landscape from regional, district, state and local perspective.</li><li>Provide the teams with actionable feedback (across the organization) on support programs such as the Helpline, copay card, SPP performance, so as to guide changes to improve access. </li><li>Help educate the internal customers on managed market dynamics specific to SP’s/SD’s as well as local payor issues-needs. Track customer trends in order to help inform internal business decisions, e.g. Health care policy changes.</li><li>Proactively use business analytics to understand common logistical issues in top accounts and proactively develop plans for education and to find solutions for better patient access to all supported specialty products. Ensure alignment with ASM and District Strategy.</li><li>Provide support to sales representatives, ASMs and Internal Stakeholders on rules of engagement to educate and further clarify what is appropriate.</li></ul>Advocacy<ul><li>Works with the field to identify potential payer advocates and supports the National Account Management team on issues relating to medical policy development and execution at the HCP level.</li><li>Ensure all approved promotional speakers have an in-depth understanding of billing/coding, logistics and payer coverage.</li></ul><ul><li>Other duties as assigned.</li></ul>Education & Experience<ul><li>BS or equivalent is required; MBA or advanced degree preferred.</li><li>5-7 years of relevant experience in the Biopharma industry required.</li><li>Three years’ experience in 3rd party reimbursement and managed care experience </li><li>Significant experience in patient access support, i.e., copay programs, HUB management, payer experience, etc.</li><li>Superb knowledge and operationalizing experience of buy & bill and SP pathways.</li><li>Previous experience working with vendor relationships desirable.</li><li>Previous experience managing customer interactions required. </li><li>Previous sales management and/or account management experience highly desirable.</li><li>All newly hired FRMs should enter at this level regardless of their tenure or experience elsewhere.</li></ul>Knowledge<ul><li>Systemic understanding of the global payer and distribution environment, in particular, physician administered biologics in the U.S. </li><li>Understanding of coverage, coding (diagnostic, procedural and product), payment and reimbursement requirements and policies.</li><li>Knowledge/expertise in commercial payer policy.</li><li>Knowledge/expertise in Local Coverage Determinations (LCDs) per each regional MAC for all products.</li><li>Knowledgeable on Medicare billing/coding and appeal process. ASP, WAC as well as Sequestration; interpret and understand Medicare EOBs and CMS 1500 forms.</li><li>Understands the legislative, legal and regulatory environments and anticipates potential impact to the Company. </li><li>Solid understanding of coverage policy creation, interpretation, and management.</li></ul>Skills & Abilities<ul><li>Significant sales experience in the biologic (injectable) market.</li><li>Possess a strong understanding of commercial payers, Medicare Part B and D and Medicaid; particularly in assigned geography.</li><li>Ability to have payer conversations with commercial and government payers, drawing on the understanding of Endo products, payer policy appeals process, and the payer landscape.</li><li>Leverage all resources (Tableau and other portals) to develop and execute account support and educate sales colleagues.</li><li>Ability to synthesize clinical literature and target product profile in order to understand implications for value to payers, patients and health care providers and the Company.</li><li>Superior verbal, written, and presentation skills to effectively convey strategic and technical market access information, with an ability to condense complex information into concise outputs and direction.</li><li>Ability to balance external stakeholders’ wants with Company needs.</li><li>Hands–on operational reimbursement experience – in-house and outsourced experience desirable.</li><li>Demonstrated ability to work with multiple stakeholders in a collaborative and constructive manner. Establishes relationships with appropriate field personnel, accounts, payers and vendors.</li><li>Model the Company's vision and core values and encourages others to foster a culture of compliance</li></ul><ul><li>Conduct business at the c-suite level for large hospital systems and can address more routine policy and State Medicaid and Medicare problems.</li></ul>Physical Requirements<ul><li>Significant travel involved.</li></ul> Keenova offers employees a Total Rewards package which includes competitive pay and benefits. To learn more about our Total Rewards benefits please visit: <a href="https://www.keenova.com/careers/" target="_blank" rel="noopener noreferrer">Keenova Careers | Serve and Grow with Purpose | Keenova</a>The expected base pay range for this position is $112K - $207K. Please note that base pay offered may vary depending on factors including job-related knowledge, skills, and experience. This position is eligible for a bonus in accordance with the terms of the applicable program. Bonuses are awarded at the Company’s discretion. Disclaimer: The above statements are intended to describe the general nature and level of work performed by employees assigned to this job. They are not intended to be an exhaustive list of all duties, responsibilities, and qualifications. Management reserves the right to change or modify such duties as required. At Keenova, we believe that no one should be alone in their pursuit of better health. This purpose drives us as we pair quality therapeutics with human support—showing up in big moments and small to help patients find comfort and confidence. We bring deep expertise and resolve to every therapeutic area we serve, including immunology, urology, men’s health, orthopedics, critical care, and pediatric endocrinology. We work with patients, care partners, and physicians to help them navigate healthcare system complexity and access therapies that make a meaningful difference. We are Keenova—keen to solve, keen to serve. Learn more at <a href="http://www.keenova.com" target="_blank" rel="noopener noreferrer">www.keenova.com</a>.At Keenova, we believe that no one should be alone in their pursuit of better health. This purpose drives us as we pair quality therapeutics with human support—showing up in big moments and small to help patients find comfort and confidence. We bring deep expertise and resolve to every therapeutic area we serve, including immunology, urology, men’s health, orthopedics, critical care, and pediatric endocrinology. We work with patients, care partners, and physicians to help them navigate healthcare system complexity and access therapies that make a meaningful difference. We are Keenova—keen to solve, keen to serve. Learn more at <a href="https://urldefense.com/v3/__https:/edge.prnewswire.com/c/link/?t=0&l=en&o=4556489-1&h=824964434&u=http*3A*2F*2Fwww.keenova.com*2F&a=www.keenova.com__;JSUlJQ!!PFraiw!54CnNzjHz6JxHmY6kI3k3z9IbEQCCQKLmBbelmOpxjnz4Oj8kYBkjCD6sSufclFfZUGNQ46VZVCz58u_Zl2eiHs6$" target="_blank" rel="noopener noreferrer">www.keenova.com</a>.

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...