Field Reimbursement Manager

Act as a strategic reimbursement advisor and primary liaison for healthcare providers, proactively identifying and resolving complex access and reimbursement barriers for assigned therapies. · Drive cross-functional collaboration with internal hub operations, analytics, and client teams to optimize service delivery and elevate the provider and patient experience.

Adecco is assisting a local client recruiting for a Field Reimbursement Manager opportunity in Los Angeles, CA with 80% Travel required. This is an excellent opportunity to join a winning culture and get your foot in the door with a Company that is an American company distributing pharmaceuticals and providing health information technology, medical supplies, and care management tools. If Creative Campaign Manager sounds like something you would be interested in, and you meet the qualifications listed below, apply now!

 

Responsibilities for Field Reimbursement Manager include but are not limited to:

·        Act as a strategic reimbursement advisor and primary liaison for healthcare providers, proactively identifying and resolving complex access and reimbursement barriers for assigned therapies.

·        Lead the resolution of high-impact reimbursement cases by overseeing benefit investigations, prior authorizations, claims escalations, and appeals, ensuring timely patient access.

·        Design and deliver advanced payer insights tailored to provider needs, incorporating evolving policy trends and access strategies across remote and in-person platforms.

·        Cultivate and expand strategic partnerships with key provider offices and manufacturer stakeholders to align support services with evolving customer and market dynamics.

·        Drive cross-functional collaboration with internal hub operations, analytics, and client teams to optimize service delivery and elevate the provider and patient experience.

·        Plan and facilitate high-value site engagements, including manufacturer-sponsored training and regional educational forums, to enhance provider readiness and adoption.

·        Serve as a subject matter expert on Medicare and commercial payer structures, translating complex benefit data into actionable insights for stakeholders.

·        Represent the FRM function in field-based initiatives, territory planning, and stakeholder engagement strategies to maximize visibility and impact.

·        Oversee territory-level project execution and account coordination, ensuring alignment with client KPIs, compliance standards, and program milestones.

·        Operate with a high degree of autonomy in a dynamic, client-facing environment, consistently delivering results under tight timelines and shifting priorities.

·        Lead documentation and reporting of all field activities in the FRM CRM system, ensuring data integrity and visibility for internal and client stakeholders.

 

Candidates Field Reimbursement Manager must meet the following requirements to be considered:

·        4-year degree in related field or equivalent experience Business Experience:

·        Entry-level experience in project management

·        Minimum of 8 years healthcare related reimbursement experience

·        Strong medical reimbursement experience with Buy & Bill and/or Specialty Pharmacy.

·        Experience supporting program specific drug therapy space, i.e., oncology, dermatology, etc.

·        Experience in the healthcare industry including, but not limited to insurance verification, prior authorizations, and/or claim adjudication, physician’s office or clinics.

·        Must have Medicare and commercial insurance coverage experience.

·        Must be able to deliver and document benefit investigation outcomes and relay status reports on a regularbasis.

·        Strong customer service experience

·        Proven presentation skills and experience

·        Ability to effectively handle multiple priorities within a changing environment.

·        Excellent organizational skills

·        Strong Computer literacy to include PowerPoint and Web Meeting experience. Specialized

 

Nice-to-have Skills:

·        Previous field experience, a plus

·        Previous experience with specialty pharmacy a plus

·        Account management experience, a plus

·        Excellent Interpersonal skills.

·        Excellent written and oral communication skills.

·        Problem solving and decision-making skills.

 

What's in this Field Reimbursement Manager position for you?

·        Pay: $58.17/hr.

·        Shift: Hybrid, M-F; 8 AM – 5 PM

·        Weekly paycheck

·        Dedicated Onboarding Specialist & Recruiter Access to Adecco’s Aspire Academy with thousands of free upskilling courses.

 

This Field Reimbursement Manager is being recruited by one of our Centralized Delivery Team and not your local Branch. For instant consideration for this Field Reimbursement Manager position at Adecco, apply today!

Pay Details: $58.17 per hour

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

Military connected talent encouraged to apply

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.adecco.com/en-us/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:

• The California Fair Chance Act
• Los Angeles City Fair Chance Ordinance
• Los Angeles County Fair Chance Ordinance for Employers
• San Francisco Fair Chance Ordinance

Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.