ASAP START DATE - Field Reimbursement Manager (FRM) - Southern CA
We are seeking an experienced Field Reimbursement Manager (FRM) with expertise in Retail and Specialty Pharmacy, including prior authorizations, appeals, denials, and provider education.
Field-based role covering the San Diego/Riverside etc. territory
Key responsibilities: Territory management, training provider office staff, and navigating complex reimbursement challenges
Must have experience with:
Prior authorizations, benefits investigations, appeals & denials
Medicare & Medicaid knowledge, including local payor landscape
Navigating access challenges when PHI is unavailable
Escalations, commercial co-pay approvals, and patient assistance programs
Staying updated on drug policies, FDA indications, and reimbursement changes
If you have the expertise and passion for helping patients access the medications they need, we'd love to hear from you. Apply today.