Field Reimbursement Manager - East Territory

This position covers East Territory: Connecticut, Delaware, Maine, Maryland, Massachusetts, Michigan, New Hampshire, New Jersey, New York, Ohio, Pennsylvania, Rhode Island, Vermont, Virginia, West Virginia

The Field Reimbursement Manager (FRM) is a customer-facing, field-based role responsible for supporting healthcare providers, laboratories, and health systems in navigating complex coverage, coding, and reimbursement pathways for bioMérieux diagnostic solutions.

Acting as a trusted partner, the FRM delivers education, guidance, and problem‑solving support to optimize billing practices, reduce reimbursement barriers, and improve patient access to testing. This role collaborates cross-functionally with Sales, Market Access, Medical Affairs, and Commercial Operations to address customer needs, influence access strategy, and ensure compliant engagement.

This highly visible role plays a key part in supporting commercial execution and enhancing customer experience through proactive and responsive reimbursement support.

Key Responsibilities

Customer Engagement & Education

• Serve as the primary reimbursement and market access resource for assigned provider accounts and regional customers.
• Educate healthcare providers, laboratory staff, and revenue cycle teams on:
• CPT, PLA, ICD‑10, and HCPCS coding
• Claims submission processes
• Prior authorization and appeals requirements
• Deliver virtual, onsite, and webinar-based training on reimbursement and coverage topics.

Reimbursement & Access Support

• Proactively and reactively address customer inquiries related to payer coverage, coding, and reimbursement.
• Troubleshoot and resolve reimbursement challenges including:
• Claim denials
• Underpayments
• Access delays
• Support customers using approved resources to improve reimbursement outcomes and expand payer coverage.

Cross-Functional Collaboration

• Partner closely with Sales, Customer Service, and Commercial teams to:
• Support new account onboarding
• Conduct customer business reviews
• Sustain account health through ongoing reimbursement support
• Collaborate with Market Access and internal stakeholders to communicate payer trends, provider challenges, and reimbursement barriers.

Insights, Tools & Strategy Support

• Document and report payer landscape insights, reimbursement issues, and provider feedback to inform internal strategy.
• Develop and maintain reimbursement tools, guides, and training materials to support field execution and customer education.
• Represent the provider perspective internally to influence product positioning and access strategy.

Compliance & Operations

• Ensure all activities are conducted in compliance with company policies and applicable regulatory requirements.
• Support product access initiatives with measurable impact on reimbursement and revenue outcomes.

Qualifications

• Bachelor’s degree in Business Administration, Health Information Management, Life Sciences or equivalent field of study required
  • Advanced degree (MBA, MPH, MHA) preferred

Experience

• 5+ years of experience in reimbursement, market access, or revenue cycle roles within diagnostics or biotech with experience in a provider-facing or field-based role required
  • Demonstrated experience addressing U.S. reimbursement and payer challenges

Skills & Competencies

• Strong knowledge of U.S. payer segments (Commercial, Medicare, Medicaid)
• Working knowledge of:
  • CPT, ICD‑10, and HCPCS coding
  • Claims workflows and reimbursement processes
  • Payer policy interpretation
• Strong problem-solving capabilities focused on reimbursement issues
• Excellent communication and presentation skills, with ability to engage diverse audiences
• Ability to influence both internal and external stakeholders
• Highly organized, self-directed, and comfortable working in a remote/field setting

Working Conditions

• Field-based role with travel required (approximately 25% depending on territory needs)
• Valid driver’s license required