Field Reimbursement Manager (Healthcare)

Location: Richmond, Virginia, United States; territory covers Richmond, Fredericksburg, Norfolk, and Roanoke. Hybrid field role with three days per week in the territory for customer appointments, one to two home-office days per week, and travel of up to 60–80% by automobile or plane.

Salary: $145,470.70–$196,813.30 per year.

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 healthcare accounts and execute territory strategies for patient access and reimbursement.
• Provide one-on-one coverage support as an extension of the HUB.
• Support the reimbursement journey from physician order through benefits investigation, prior authorization, appeals, denials, and claims resolution.
• Review patient-specific information and resolve coverage challenges while handling protected health information.
• Educate healthcare providers on payer coverage, benefit design, formulary criteria, utilization management, and reimbursement procedures.
• Coordinate reimbursement issues with the HUB and other internal partners, serving as a payer expert for the assigned geography.

Requirements

• Doctorate degree; or a master’s degree plus 3 years of customer service and/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.
• Valid driver’s license with a clean driving record and ability to travel up to 60–80%.
• Advanced knowledge of medical insurance terminology and strong medical reimbursement, specialty pharmacy, or buy-and-bill experience.
• Knowledge of CMS policies and Medicare Part B, Medicare Part D, and Medicaid processes.
• Strong communication, presentation, organization, problem-solving, computer literacy, and project management skills.

Nice to have

• Bachelor’s degree in business, healthcare, or a related field.
• Six years of experience with specialty or biologic self-injectable or physician-administered products.
• Bilingual proficiency in English and Spanish.
• Experience with insurance verification, claim adjudication, physician offices or clinics, pharmacies, or pharmaceutical manufacturers.

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, plus stock-based long-term incentives.
• Paid time off and career development opportunities.