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Mercalis

Field Reimbursement Manager

Mercalis

Field Reimbursement Manager working to resolve patient access issues in the healthcare industry. Collaborating with stakeholders to enhance patient access to life altering medications.

Posted 5/8/2026full-timeRemote • North Carolina • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact
  • Solve complex patient access issues by working across the Hub, provider offices and communicating with client field team
  • Partner with client’s Sales Team, Payer Teams, Marketing, HCPs, and their Specialty Pharmacies
  • Educate HCP and Office Staff on Patient Support Programs
  • Guide healthcare providers through the prior authorization and appeals process
  • The FRM will manage daily activities that support appropriate patient access to client’s products
  • Coordinate with client’s patient support services programs representatives on patient cases and claim issues
  • Conduct policy surveillance across regional payers to ensure appropriate coding, coverage, and payment of client’s products
  • Lead sales training related to product reimbursement

Requirements

What you’ll need
  • Associate's degree or higher in a related field or equivalent market experience
  • 3+ in Pharma/Healthcare industry; working with specialty products, Hubs, Payers, HCP or related area
  • Must have specific practice management, billing and/or coding experience for drugs, biologicals, or devices
  • Must have general payer policy knowledge including public and private payers
  • Demonstrated ability to conduct virtual and field-based reimbursement support and education
  • Experience with Prior Authorizations, reimbursement billing, coding, and appeals process
  • Knowledge of commercial payer, Medicare and Medicaid structure, systems, and reimbursement process
  • Strong stakeholder engagement and communication skills

Benefits

Comp & perks
  • Patient access to life altering medications
  • Opportunities for creativity, growth, and success
  • Diversity-driven organization with an inclusive approach

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools
billingcodingprior authorizationreimbursementpolicy surveillancepatient support programsappeals processpractice managementspecialty productshealthcare reimbursement
Soft Skills
stakeholder engagementcommunicationeducationcollaborationproblem-solvingleadership
Certifications
Associate's degree