Reimbursement Business Manager (Pharmaceutical Reimbursement)

Location: Remote role based in Nashville, TN; candidate must reside within the assigned territory and travel 50%–70%.

Company

hirify.global is a biotechnology company that develops and commercializes medicines for serious diseases, including ophthalmology, oncology, cardiovascular and metabolic conditions, and rare diseases.

What you will do

• Develop and execute account plans that build reimbursement confidence and support patient access.
• Educate physician offices on support services, coverage, coding, payer requirements, and policy changes.
• Build collaborative relationships with regional directors, medical specialists, physicians, administrators, and office staff.
• Guide healthcare professionals in resolving reimbursement issues and barriers in accordance with company policies.
• Monitor support-service impact, manage assigned territory coverage, and adapt to customer and market changes.

Requirements

• Bachelor’s degree from a four-year college or university.
• 5–8 years of pharmaceutical, biotechnology, or medical-device experience, including 3–5 years in healthcare coverage, coding, or reimbursement.
• Experience working with billing and medical claims personnel in physician offices, hospitals, HOPDs, or ASCs.
• Expertise in coding, billing, claims submissions, Medicare, Medicaid, and other payer initiatives.
• Knowledge of CPT, HCPCS, ICD-10, revenue codes, DRG, UB-04, CMS-1500, explanations of benefits, prior authorizations, and superbills.
• Must reside within the assigned territory and be able to travel 50%–70% of the time.

Culture & Benefits

• Inclusive workplace committed to equal opportunity and reasonable accommodations.
• Competitive total rewards package that may include bonuses, equity awards, retirement benefits, insurance, paid time off, and family support benefits.
• Benefits may include 401(k) company matching, health and wellness programs, and fitness resources.