Field Reimbursement Manager (Pharmaceutical Reimbursement)

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

Annual salary: $145,471–$196,813 in the United States, excluding Puerto Rico.

Company

hirify.global is a biotechnology company researching, manufacturing, and delivering medicines for serious illnesses across areas including 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 from physician order through reimbursement.
• Support prior authorizations, appeals, denials, claims resolution, benefits investigations, and financial assistance options.
• 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 reimbursement procedures.
• Coordinate reimbursement issues with HUB, cross-functional partners, and other departments.

Requirements

• Must live in the Illinois geography or within 10 miles of its border.
• 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 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 2 years of experience in public or private third-party access, managed care, clinical support, sales, or the pharmaceutical industry.
• Medical reimbursement, specialty pharmacy, buy-and-bill, insurance verification, claims adjudication, billing, coding, appeals, and payer experience.
• Presentation, facilitation, communication, organization, project management, computer literacy, and cross-functional collaboration skills; valid driver’s license with a clean driving record required.

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-and-bill products.
• Advanced medical insurance terminology and CMS policy knowledge, including Medicare Part B and Part D.
• Experience managing ambiguity, solving problems, and managing expenses within allocated budgets.

Culture & Benefits

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