Field Reimbursement Manager - Kidney (Midwest - ND, SD, WI, MN)
Vertex Pharmaceuticals
June 27, 2026
On-site
United States
Market Access
General Summary:
Field-based Field Reimbursement Manager for Vertex’s Kidney Patient Support Program (KPSP). Serve as local subject matter expert to nephrology practices, providing non-promotional access and reimbursement education; support timely patient access through troubleshooting and territory payer expertise.
Key Duties And Responsibilities:
- Build compliant relationships with nephrology office care team and administrative staff (prior authorizations/patient access).
- Partner with case management to resolve escalated access issues; coordinate handoffs via CRM triggers/workflows.
- Educate offices on copay, PAP, Bridge programs, and other affordability pathways; provide timely follow-up on case status and insurance documentation requirements.
- Maintain knowledge of commercial/government prescription insurance coverage and payer trends.
- Conduct on-site/virtual in-services and training on payer policies, formulary/coverage nuances, PA/exception criteria, ICD-10/CPT, documentation, distribution pathways, hub services, enrollment, and reimbursement workflows.
- Independently manage a multistate region; develop territory engagement plans; tailor engagement to office workflows.
- Follow strict non-promotional, compliance/privacy guidelines; maintain patient confidentiality.
Knowledge, Skills, Qualifications:
- Experience with specialty biologics/rare disease therapies/complex pharmacy benefit products; account management with HCP offices.
- Ability to navigate payer portals, CRM systems, and field access tools.
- Strong communication, training, analytical, and data/reporting skills; strategic business/account planning.
- Travel 50–70%; proficiency in Outlook/Word/Excel/PowerPoint/Salesforce CRM.
- Valid driver’s license; meet credentialing requirements.
- BA in health care/life sciences/business (advanced degree a plus). 5+ years in sales/reimbursement/market access/specialty pharmacy/patient services/field access; deep benefits/PA/appeals/coverage knowledge; Medicare/Medicaid/commercial payer knowledge.
Pay/Benefits (as stated):
- $136,000–$204,000 base; eligible for annual bonus and annual equity awards; may be eligible for overtime.
- Total Rewards include medical/dental/vision, paid time off (incl. summer/winter shutdown), educational assistance/student loan repayment, commuting subsidy, matching charitable donations, and 401(k).
Field-based Field Reimbursement Manager for Vertex’s Kidney Patient Support Program (KPSP). Serve as local subject matter expert to nephrology practices, providing non-promotional access and reimbursement education; support timely patient access through troubleshooting and territory payer expertise.
Key Duties And Responsibilities:
- Build compliant relationships with nephrology office care team and administrative staff (prior authorizations/patient access).
- Partner with case management to resolve escalated access issues; coordinate handoffs via CRM triggers/workflows.
- Educate offices on copay, PAP, Bridge programs, and other affordability pathways; provide timely follow-up on case status and insurance documentation requirements.
- Maintain knowledge of commercial/government prescription insurance coverage and payer trends.
- Conduct on-site/virtual in-services and training on payer policies, formulary/coverage nuances, PA/exception criteria, ICD-10/CPT, documentation, distribution pathways, hub services, enrollment, and reimbursement workflows.
- Independently manage a multistate region; develop territory engagement plans; tailor engagement to office workflows.
- Follow strict non-promotional, compliance/privacy guidelines; maintain patient confidentiality.
Knowledge, Skills, Qualifications:
- Experience with specialty biologics/rare disease therapies/complex pharmacy benefit products; account management with HCP offices.
- Ability to navigate payer portals, CRM systems, and field access tools.
- Strong communication, training, analytical, and data/reporting skills; strategic business/account planning.
- Travel 50–70%; proficiency in Outlook/Word/Excel/PowerPoint/Salesforce CRM.
- Valid driver’s license; meet credentialing requirements.
- BA in health care/life sciences/business (advanced degree a plus). 5+ years in sales/reimbursement/market access/specialty pharmacy/patient services/field access; deep benefits/PA/appeals/coverage knowledge; Medicare/Medicaid/commercial payer knowledge.
Pay/Benefits (as stated):
- $136,000–$204,000 base; eligible for annual bonus and annual equity awards; may be eligible for overtime.
- Total Rewards include medical/dental/vision, paid time off (incl. summer/winter shutdown), educational assistance/student loan repayment, commuting subsidy, matching charitable donations, and 401(k).