Field Reimbursement Specialist

Cencora

Field Reimbursement Specialist helping Cencora patients access specialty medications. Educating healthcare offices and resolving pharmacy benefit, coverage, and reimbursement barriers across a multistate territory.

Posted 8/4/2026full-timeRemote • Colorado, Idaho, Montana, New Mexico, Oklahoma, Texas, Utah, Washington, Wyoming • 🇺🇸 United StatesMid-LevelSenior💰 $93,500 - $187,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in reimbursement, access, and coverage issues while effectively educating healthcare providers and staff on insurance processes. Proficient in resolving pharmacy benefit access challenges and conducting field-based support and consultations.

Highest-signal resume keywords

Reimbursement ExpertisePharmacy Benefit AccessRevenue Cycle ManagementField-Based EducationPACS Certification

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

CodingBillingPrior AuthorizationAppeals ProcessesFormulary ManagementBenefit InvestigationsHealthcare Provider EducationRoot Cause AnalysisPatient Access Support

Soft Skills

Time ManagementPlanning SkillsCollaboration

Tools & Technologies

Microsoft WordMicrosoft PowerPointMicrosoft ExcelMicrosoft Outlook

Certifications & Qualifications

PACS Certification

Industry Keywords

HealthcarePharmacy BenefitsSpecialty Pharmacy DynamicsInsuranceAccess Issues

About the role

Key responsibilities & impact

Serve as a subject-matter expert on reimbursement, access, and coverage issues
Educate healthcare providers, office staff, and practice managers on insurance, reimbursement, coding, billing, formulary, prior authorization, and appeals processes
Support patient access to client products by resolving reimbursement and coverage challenges
Act as a liaison between providers, manufacturers, pharmacies, and payers
Collaborate with patient assistance and reimbursement support services
Inform office staff about coverage and payer policy changes within assigned territories
Probe office processes and identify root causes of access or reimbursement issues
Deliver interactive educational presentations at provider sites of service
Provide client-approved reimbursement information regarding client products
Travel weekly to healthcare offices, including potential overnight stays
Perform other related duties as assigned

Requirements

What you’ll need

High School Diploma/GED required
Bachelor's degree or relevant practice management experience preferred
Previous experience as Field Reimbursement Manager/Specialist preferred
Previous experience working in healthcare directly resolving pharmacy benefit access issues
Experience with extensive travel
Experience in revenue cycle, formulary, benefit investigations, prior authorization, coding, and appeals processes
Deep understanding of pharmacy benefits and policies
Understanding of specialty pharmacy dynamics
Ability to conduct field-based reimbursement and access support, education, and consultation
Strong time management and planning skills
Proficiency in Microsoft Word, PowerPoint, Excel, and Outlook
Live within reasonable commuting distance of a major airport in the listed location
Willingness to travel within the territory, including weekly travel and potential overnight stays
Willingness to obtain PACS certification within the first six months of employment

Benefits

Comp & perks

Medical, dental, and vision care
Backup dependent care
Adoption assistance
Infertility coverage
Family building support
Behavioral health solutions
Paid parental leave
Paid caregiver leave
Training programs
Professional development resources
Mentorship programs
Employee resource groups
Volunteer activities