Associate Director, Field Reimbursement - Great Plains
Pacira BioSciences, Inc.
August 15, 2026
Remote friendly (United States)
United States
Market Access
Summary:
The Associate Director, Field Reimbursement is a customer-facing role responsible for managing defined accounts within a specified region in the Non-Opioid Pain Therapeutic area. Supports a specialty buy-and-bill therapy by driving product reimbursement and coverage, removing access barriers, and partnering with internal and external stakeholders to execute strategic plans. Acts as internal expert on medical coding, billing, and reimbursement.
Responsibilities (Essential Duties):
- Provide live one-on-one coverage support as an extension of EXPAREL & ZILRETTA.
- Support the reimbursement journey from physician order through prior authorization, appeals/denials requirements, procedures, and forms.
- Review patient-specific information to resolve site coverage issues.
- Review patient insurance benefit options.
- Coordinate with patient support services program representatives.
- Educate physician office staff on call center support services and web-based provider programs.
- Provide reimbursement topic information related to Pacira’s portfolio.
- Serve as payer expert for defined geography; communicate payer changes to key stakeholders.
- Provide office support for accurate coding and billing for Pacira’s portfolio.
Qualifications:
- Bachelor’s degree in Health Policy, Finance, Business, or related field.
- 6+ years related healthcare industry experience.
- 3+ years relevant reimbursement experience, especially managing targeted reimbursement relationships.
Knowledge/Skills/Abilities (required):
- Payer policy knowledge (managed care, Medicare/Medicaid); benefit verifications and prior authorization.
- Knowledge of reimbursement and billing processes in physician offices.
- Ability to interpret payer policy and clinical information for prior auth/formulary exception/appeals.
- Specialty product buy-and-bill, coding, and in-office program management best practices.
- Track record managing medical billing/coding including appeals and denials.
- Strong written/verbal communication and presentation skills.
- Ability to partner and accomplish goals without direct reporting structure; strategic thinking.
- Problem-solving, analytic, and negotiation skills.
- Understanding of CMS and commercial payment models/trends.
- Valid driver’s license (state of residence).
The Associate Director, Field Reimbursement is a customer-facing role responsible for managing defined accounts within a specified region in the Non-Opioid Pain Therapeutic area. Supports a specialty buy-and-bill therapy by driving product reimbursement and coverage, removing access barriers, and partnering with internal and external stakeholders to execute strategic plans. Acts as internal expert on medical coding, billing, and reimbursement.
Responsibilities (Essential Duties):
- Provide live one-on-one coverage support as an extension of EXPAREL & ZILRETTA.
- Support the reimbursement journey from physician order through prior authorization, appeals/denials requirements, procedures, and forms.
- Review patient-specific information to resolve site coverage issues.
- Review patient insurance benefit options.
- Coordinate with patient support services program representatives.
- Educate physician office staff on call center support services and web-based provider programs.
- Provide reimbursement topic information related to Pacira’s portfolio.
- Serve as payer expert for defined geography; communicate payer changes to key stakeholders.
- Provide office support for accurate coding and billing for Pacira’s portfolio.
Qualifications:
- Bachelor’s degree in Health Policy, Finance, Business, or related field.
- 6+ years related healthcare industry experience.
- 3+ years relevant reimbursement experience, especially managing targeted reimbursement relationships.
Knowledge/Skills/Abilities (required):
- Payer policy knowledge (managed care, Medicare/Medicaid); benefit verifications and prior authorization.
- Knowledge of reimbursement and billing processes in physician offices.
- Ability to interpret payer policy and clinical information for prior auth/formulary exception/appeals.
- Specialty product buy-and-bill, coding, and in-office program management best practices.
- Track record managing medical billing/coding including appeals and denials.
- Strong written/verbal communication and presentation skills.
- Ability to partner and accomplish goals without direct reporting structure; strategic thinking.
- Problem-solving, analytic, and negotiation skills.
- Understanding of CMS and commercial payment models/trends.
- Valid driver’s license (state of residence).