Field Reimbursement Manager (Illinois)

Location: US - Illinois - Chicago; must live in the geography or within 10 miles of its border. The territory covers Illinois. The role involves customer appointments three days per week in the geography, one to two home-office days per week, and travel of up to 60–80% by automobile or plane.

Salary: $145,471–$196,813 annual base salary.

Company

hirify.global develops and delivers biotechnology medicines for serious illnesses across oncology, inflammation, general medicine, and rare disease.

What you will do

• Manage defined accounts and execute the territory strategy for Patient Access and Reimbursement in the respiratory business unit.
• Provide live coverage support as an extension of the HUB, assisting healthcare providers throughout the reimbursement journey.
• Support prior authorization, appeals, denials, claims resolution, benefits investigation, and alternate funding or financial assistance processes.
• Review patient-specific information and resolve coverage challenges involving protected health information.
• Educate healthcare providers on commercial, Medicare, and Medicaid coverage, formularies, utilization management, and insurance procedures.
• Coordinate reimbursement issues with the HUB and cross-functional partners while communicating payer changes to stakeholders.

Requirements

• Doctorate degree; or a master’s degree plus 3 years of customer service or leadership experience; or a bachelor’s degree plus 5 years; or an associate’s degree plus 10 years; or a high school diploma/GED plus 12 years.
• Experience directly managing people or leading teams, projects, programs, or resource allocation.
• At least two years of experience in public or private third-party access, managed care, clinical support, sales, or the pharmaceutical industry.
• Experience with medical reimbursement, specialty pharmacy, Buy & Bill, insurance verification, claims adjudication, billing, coding, appeals, and HUB operations.
• Experience with commercial payers, Medicare plans, and state Medicaid, plus strong presentation, communication, organization, collaboration, and project management skills.
• Valid driver’s license with a clean driving record and ability to work in the Illinois geography.

Nice to have

• Bachelor’s degree in business, healthcare, or a related field.
• Six years of experience with specialty or biologic self-injectable products or physician-administered Buy & Bill products.
• Advanced medical insurance terminology knowledge and expertise in Medicare Part B and Part D policies and processes.
• Experience managing ambiguity, solving problems, and managing expenses within allocated budgets.

Culture & Benefits

• Collaborative, innovative, and science-based work environment.
• Health, dental, vision, life, disability, and flexible spending benefits.
• Retirement and savings plan with company contributions and stock-based long-term incentives.
• Annual bonus or sales-based incentive plan, depending on eligibility.
• Paid time off and flexible work models, including remote and hybrid arrangements where possible.

Hiring process

• Applications are accepted until October 30 or until a candidate is selected.