Field Access and Reimbursement Manager - Specialty Therapies (OH/MI)

Field Access and Reimbursement Manager - Specialty Therapies (OH/MI) at Korn Ferry Field Access and Reimbursement Manager - Specialty Therapies (OH/MI) at Korn Ferry in Bath, Michigan Posted in about 21 hours ago.

Type:

full-time

Job Description:

Access & Reimbursement Manager (Field-Based) -

Specialty Therapies Territory:

Ohio / Michigan Preferred home-base areas: Dayton, OH and/or East Lansing, MI, and/or Ft. Wayne, IN (or within reasonable driving distance) About the Role We are partnering with a leading, innovation-driven pharmaceutical organization to identify a field-based Access & Reimbursement Manager supporting a specialty portfolio. This role is critical in ensuring patient access and a seamless customer experience, with a strong focus on reimbursement strategy, education, and prescription pull-through. The position has evolved from a predominantly reactive, case-management approach into a highly proactive, field-based role, emphasizing in-person engagement, trend identification, and process optimization across key accounts. The role serves as the regional subject matter expert on reimbursement, prior authorizations, coding, specialty pharmacy distribution models, and patient access considerations across complex specialty therapies (e.g., rare disease, women's health, psychiatry, neurology, immunology, rheumatology etc). Territory & Location Requirements This role supports accounts across Kentucky and Indiana and requires candidates to reside within the territory.

Preferred locations include:

Dayton, OH East Lansing, MI Ft. Wayne, IN Other major metropolitan areas within the territory Candidates must be able to travel regularly to key accounts within the region. What You'll Do Serve as the regional expert in access and reimbursement, including payer policy, prior authorization requirements, coding, and specialty pharmacy distribution pathways Partner closely with ~5-10 field-based Account Managers to support priority accounts across the territory Engage healthcare providers, office personnel, and key stakeholders through in-person and virtual interactions Educate stakeholders involved in the prescription fulfillment process, including: Proper script submission and routing Navigating prior authorization requirements e-Prescribing workflows and platforms (e.g., CoverMyMeds) Setting expectations with patients regarding access and fulfillment Support and optimize prescription pull-through, ensuring efficient movement through reimbursement and dispensing pathways Identify patterns, trends, and systemic barriers impacting access, and implement proactive, account-level solutions Transition accounts from reactive issue resolution to proactive access management and planning Collaborate cross-functionally (e.g., patient services, payer, trade, specialty pharmacy partners) to resolve access challenges and improve patient outcomes Deliver in-person and virtual presentations and training on: Coverage and reimbursement processes Payer dynamics (commercial and government) Specialty pharmacy models and workflows Provide practical and technical guidance to healthcare providers to anticipate and resolve reimbursement challenges Ensure all activities are conducted in full compliance with applicable regulations and company policies Role Structure & Expectations Field-based role with ~60% travel, with strong emphasis on in-person customer engagement Balanced mix of in-person (~60%) and virtual (~40%) interactions Collaborative model supporting multiple field partners Focus on priority and high-opportunity accounts, driven by evolving regional trends What We're Looking For Bachelor's degree required (Business, Healthcare, Communications, Marketing, or related field preferred) ~7+ years of total professional experience Minimum 5+ years in access & reimbursement, field reimbursement, or related roles Strong expertise in: Prior authorization processes and payer policy navigation e-Prescribing workflows Specialty pharmacy, HUB, and patient support service models Reimbursement fundamentals (coding, coverage, and payment) Strong understanding of commercial and government payer structures (including Medicaid) Experience supporting therapies with complex reimbursement pathways and/or specialty distribution models Background in specialty pharmaceutical / biotech environments (e.g., rare disease, neurology, psychiatry, women's health, immunology, rheumatology preferred) Proven ability to succeed in a field-based, customer-facing role with strong relationship management skills Demonstrated ability to: Navigate complex access challenges Identify and solve systemic issues proactively Build credibility with healthcare providers and office staff Strong communication and presentation skills, with ability to engage a wide range of stakeholders Collaborative, resourceful, and adaptable in a dynamic, fast-paced environment Confidential Search This is a confidential search conducted on behalf of our client. Additional details regarding the organization and portfolio will be shared during the interview process.

Comp Range:

160,000 to 220,000 Base salary + bonus, LTI and other benefits