Field Reimbursement Manager-Mountain West
Harrow
August 14, 2026
Remote
United States
Market Access
Position Summary:
Field Reimbursement Manager (FRM) serving as the in-market reimbursement expert for physician practices using Harrow buy-and-bill drug portfolio (Retina and Surgical franchises), providing non-promotional, compliant education on coverage, coding, billing, and claims.
Core Responsibilities:
- Primary field point of contact for practice administrators, billing/coding, and clinical staff on reimbursement for Harrow buy-and-bill brands
- Educate on payer coverage policy, medical benefit billing/coding (HCPCS/CPT/J-codes, ICD-10, modifiers), prior authorizations, and claims submission best practices
- Support prior authorization and appeals by educating on payer-specific requirements and documentation
- Educate on support programs (patient assistance, product replacement, sample programs) and coordinate warm handoffs to the HUB
- Build relationships with key accounts in assigned territory; conduct regular structured business reviews (reimbursement performance, denial trends, action plans)
- Identify at-risk accounts and develop targeted interventions; partner with Sales for coordinated, compliant support
- Conduct account-level claims analysis (denials, coding errors, payer barriers) and provide actionable guidance
- Maintain payer policy knowledge (commercial, Medicare, Medicare Advantage, Medicaid); escalate complex payer issues with data/recommendations
- Coordinate with HUB/Patient Services; provide field intelligence; maintain CRM/reporting documentation; represent company compliantly
Qualifications & Requirements:
- 7+ years healthcare-related field reimbursement/brand management/sales experience
- Bachelor’s degree preferred (or equivalent)
- Buy-and-bill experience required; 2+ years Field Reimbursement experience required
- Healthcare credentialing/certification preferred; eye care, private equity preferred
- HCPCS Level II (J-code) and Transitional Pass-Through reimbursement preferred
- Experience with benefit verifications, prior authorizations, claim assistance, and appeals
- Payer coverage experience (Medicare MACs, Medicare Advantage, Commercial, Medicaid)
- Claims analysis and regular QBR experience
Position Type/Travel:
- Remote; up to 80% travel
Field Reimbursement Manager (FRM) serving as the in-market reimbursement expert for physician practices using Harrow buy-and-bill drug portfolio (Retina and Surgical franchises), providing non-promotional, compliant education on coverage, coding, billing, and claims.
Core Responsibilities:
- Primary field point of contact for practice administrators, billing/coding, and clinical staff on reimbursement for Harrow buy-and-bill brands
- Educate on payer coverage policy, medical benefit billing/coding (HCPCS/CPT/J-codes, ICD-10, modifiers), prior authorizations, and claims submission best practices
- Support prior authorization and appeals by educating on payer-specific requirements and documentation
- Educate on support programs (patient assistance, product replacement, sample programs) and coordinate warm handoffs to the HUB
- Build relationships with key accounts in assigned territory; conduct regular structured business reviews (reimbursement performance, denial trends, action plans)
- Identify at-risk accounts and develop targeted interventions; partner with Sales for coordinated, compliant support
- Conduct account-level claims analysis (denials, coding errors, payer barriers) and provide actionable guidance
- Maintain payer policy knowledge (commercial, Medicare, Medicare Advantage, Medicaid); escalate complex payer issues with data/recommendations
- Coordinate with HUB/Patient Services; provide field intelligence; maintain CRM/reporting documentation; represent company compliantly
Qualifications & Requirements:
- 7+ years healthcare-related field reimbursement/brand management/sales experience
- Bachelor’s degree preferred (or equivalent)
- Buy-and-bill experience required; 2+ years Field Reimbursement experience required
- Healthcare credentialing/certification preferred; eye care, private equity preferred
- HCPCS Level II (J-code) and Transitional Pass-Through reimbursement preferred
- Experience with benefit verifications, prior authorizations, claim assistance, and appeals
- Payer coverage experience (Medicare MACs, Medicare Advantage, Commercial, Medicaid)
- Claims analysis and regular QBR experience
Position Type/Travel:
- Remote; up to 80% travel