Field Reimbursement Manager - East Territory

Job description

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 50–75% depending on territory needs) Valid driver’s license required The estimated salary range for this role based in the Field is between $129,200 – 167,300. This role is eligible to receive a variable annual bonus based on company, team, and individual performance per bioMerieux’s bonus program. This range may differ from ranges offered for similar positions elsewhere in the country given differences in cost of living. Actual compensation within this range is determined based on the successful candidate’s experience and will be presented in writing at the time of the offer. In addition, bioMérieux offers a competitive Total Rewards package that may include: · A choice of medical (including prescription), dental, and vision plans providing nationwide coverage and telemedicine options · Company-Provided Life and Accidental Death Insurance · Short and Long-Term Disability Insurance · Retirement Plan including a generous non-discretionary employer contribution and employer match. · Adoption Assistance · Wellness Programs · Employee Assistance Program · Commuter Benefits · Various voluntary benefit offerings · Discount programs · Parental leaves #LI-AG1 #biojobs