Field Reimbursement Manager - Richmond, VA
Ardelyx, Inc.
July 02, 2026
On-site
Richmond, VA
Market Access
Responsibilities:
- Establish relationships with Patient Services Program Partners, Field Sales, and Healthcare Providers to support patient access
- Educate HCPs on prior authorization, appeals, and/or denials
- Review patient-specific information to resolve site requests for coverage issues (as appropriate)
- Identify and address patient/HCP access barriers with internal/external stakeholders; implement updates based on solutions
- Use HUB and specialty pharmacy partners to remove access barriers
- Monitor patient start trends in assigned geographies/plans; proactively mitigate challenges with Field Sales and Patient Services
- Maintain knowledge of payer/prescriber market dynamics and HUB/specialty distribution channels
- Serve as SME for access and affordability solutions across payer types/plans (Medicare, Medicaid Managed Care, Commercial)
- Adapt to changes in the healthcare ecosystem; customize resourcing/messaging
Qualifications:
- B.A./B.S. + 6–9 years in field reimbursement/patient services/market access (or equivalent)
- 3–5 years as a Field Reimbursement Manager (public/private) in access services/healthcare operations (or equivalent)
- Extensive knowledge of medication access channels (preferred)
- Strong functional knowledge of specialty pharmacy and insurance/benefits; expert understanding of eligibility, benefit verification, prior auth, coverage, appeals, and financial assistance/copro-pay/free product programs
- Knowledge of HCP office processes (patient flow/prescription flow); GI product/provider experience preferred
- Strong customer/communication skills and cross-functional influence
- Ability to evaluate data, identify trends/barriers, and translate into actionable steps
Work Environment/Travel:
- Up to 75% field travel; reports to Associate Director/Director, Field Access and Reimbursement
Benefits (explicitly listed): 401(k) w/ generous match, 12 weeks paid parental leave, up to 12 weeks living organ/bone marrow leave, equity incentive plans, health plans, life insurance/disability, flexible time off, Winter Holiday shutdown, at least 11 paid holidays.
- Establish relationships with Patient Services Program Partners, Field Sales, and Healthcare Providers to support patient access
- Educate HCPs on prior authorization, appeals, and/or denials
- Review patient-specific information to resolve site requests for coverage issues (as appropriate)
- Identify and address patient/HCP access barriers with internal/external stakeholders; implement updates based on solutions
- Use HUB and specialty pharmacy partners to remove access barriers
- Monitor patient start trends in assigned geographies/plans; proactively mitigate challenges with Field Sales and Patient Services
- Maintain knowledge of payer/prescriber market dynamics and HUB/specialty distribution channels
- Serve as SME for access and affordability solutions across payer types/plans (Medicare, Medicaid Managed Care, Commercial)
- Adapt to changes in the healthcare ecosystem; customize resourcing/messaging
Qualifications:
- B.A./B.S. + 6–9 years in field reimbursement/patient services/market access (or equivalent)
- 3–5 years as a Field Reimbursement Manager (public/private) in access services/healthcare operations (or equivalent)
- Extensive knowledge of medication access channels (preferred)
- Strong functional knowledge of specialty pharmacy and insurance/benefits; expert understanding of eligibility, benefit verification, prior auth, coverage, appeals, and financial assistance/copro-pay/free product programs
- Knowledge of HCP office processes (patient flow/prescription flow); GI product/provider experience preferred
- Strong customer/communication skills and cross-functional influence
- Ability to evaluate data, identify trends/barriers, and translate into actionable steps
Work Environment/Travel:
- Up to 75% field travel; reports to Associate Director/Director, Field Access and Reimbursement
Benefits (explicitly listed): 401(k) w/ generous match, 12 weeks paid parental leave, up to 12 weeks living organ/bone marrow leave, equity incentive plans, health plans, life insurance/disability, flexible time off, Winter Holiday shutdown, at least 11 paid holidays.