Field Reimbursement Manager - Pittsburgh, PA (Healthcare)

Location: United States; territory covers Pittsburgh, North and South Pennsylvania, Erie, Williamsport, Wilkes-Barre, Morgantown, and Charleston. Must live in the geography or within 10 miles of its border. Hybrid field role with two days per week in the geography, one to two home-office days, and up to 40% travel.

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

Company

hirify.global is a biotechnology company developing and delivering medicines for serious illnesses across oncology, inflammation, general medicine, and rare disease.

What you will do

• Manage defined accounts and execute territory strategies for patient access and reimbursement.
• Provide one-on-one coverage support from physician order through reimbursement, including benefits investigation, prior authorization, appeals, and claims resolution.
• Review patient-specific information and resolve coverage challenges involving protected health information.
• Educate healthcare providers on commercial, Medicare, and Medicaid coverage, benefit design, formulary requirements, and utilization management.
• Coordinate reimbursement issues with HUB teams and cross-functional partners.
• Review insurance benefits and alternative funding or financial assistance options.

Requirements

• Doctorate degree, or an applicable master's, bachelor's, associate's, or high school diploma/GED combination with the required customer service or leadership experience.
• 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, and appeals.
• Strong presentation, communication, organization, project management, computer literacy, and cross-functional collaboration skills.
• Must live in the assigned geography or within 10 miles of its border; 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 products.
• Advanced medical insurance terminology and CMS policy knowledge, including Medicare Part B and Part D.
• Experience managing ambiguity and 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.
• Annual bonus or sales-based incentive plan, stock-based long-term incentives, and paid time off.
• Flexible work models, including remote and hybrid arrangements where applicable.

Hiring process

• Applications are accepted until a suitable candidate is selected.
• Sponsorship is not guaranteed.