Field Reimbursement Manager – East 

About the Opportunity

Our client, a leading global diagnostics company, is seeking a Field Reimbursement Manager (FRM) to support healthcare providers, laboratories, and health systems across the Eastern United States.

This highly visible, field-based role serves as the primary reimbursement and market access resource for customers, helping navigate coverage, coding, reimbursement, and payer-related challenges to improve patient access to diagnostic testing.

The ideal candidate will have a strong understanding of reimbursement, payer policy, and provider education within the diagnostics or biotechnology industry.

Key Responsibilities

• Serve as the primary reimbursement and market access resource for assigned provider accounts and laboratory customers.
• Educate healthcare providers, laboratory personnel, and revenue cycle teams on reimbursement processes and best practices.
• Provide guidance on:
  • CPT, PLA, HCPCS, and ICD-10 coding
  • Claims submission processes
  • Prior authorizations
  • Appeals and reimbursement workflows
• Resolve customer reimbursement challenges, including claim denials, underpayments, and payer access issues.
• Partner with Sales, Market Access, Medical Affairs, Customer Service, and Commercial Operations to support customer success.
• Assist with onboarding new customer accounts and provide ongoing reimbursement support.
• Collect and communicate payer insights, reimbursement trends, and customer feedback to internal stakeholders.
• Develop reimbursement resources, educational materials, and training programs.
• Ensure all customer interactions comply with applicable company policies and regulatory requirements.

Qualifications

• Bachelor's degree in Business, Health Information Management, Life Sciences, or a related field required.
• Advanced degree (MBA, MPH, or MHA) preferred.
• Minimum of 5 years of experience in:
  • Field Reimbursement
  • Market Access
  • Revenue Cycle
  • Provider Reimbursement
• Experience within diagnostics, biotechnology, molecular diagnostics, or laboratory services preferred.
• Demonstrated knowledge of U.S. reimbursement systems, including Commercial, Medicare, and Medicaid payers.
• Strong understanding of:
  • CPT
  • HCPCS
  • ICD-10
  • Claims processing
  • Payer policy interpretation
• Excellent communication, presentation, and relationship-building skills.
• Ability to work independently in a field-based environment.

Travel

• Field-based position with approximately 50–75% travel throughout the Eastern U.S.
• Valid driver's license required.

Ideal Candidate

We're looking for a reimbursement professional who has successfully partnered with healthcare providers and laboratory customers to improve reimbursement outcomes while serving as a trusted resource for market access and payer education. Experience supporting diagnostics, molecular testing, or laboratory services is highly preferred.