Access & Reimbursement Manager (ARM) - Southwest

Role: Field Reimbursement Manager supporting Outlook Therapeutics' U.S. launch of ophthalmic treatment for wet AMD, focusing on reimbursement strategy, customer education, and account management. Responsibilities: serve as primary reimbursement resource for retina/ophthalmology practices, educate staff on payer policies and billing, guide through prior authorization and appeals, lead quarterly business reviews, analyze claims data for denial patterns, and support cross-functional coordination for launch readiness. Requirements: 5–10 years of experience in reimbursement, market access, or patient services within pharma/biotech, with at least 2 years of hands-on buy-and-bill reimbursement experience; expertise in Medicare, Medicaid, and commercial payer coverage; proficiency with benefit verification, prior authorization, claims, and appeals; strong communication skills; willingness to travel 50–75%. Preferred: ophthalmology or retina experience, HCPCS Level II (J-code), product launch support, professional coding or healthcare management certification. High-Value: ophthalmology/retina, buy-and-bill, product launch, payer landscape analysis. WorkSetup: field-based in Southern California, Arizona, Southern Nevada with significant travel.