Job Description

Adecco is currently assisting one of its clients in their search for a Field Reimbursement Manager to work remotely from Laguna Beach or San Clemente area! **Pay rate** : $58.17 per hour **Shift availability** : Monday - Friday 8am - 5pm (may vary) **Location** : Remote from Laguna Beach, CA / San Clemente, CA area Temp to Hire **For instant consideration for this role, click on Apply Now and don't forget to upload your resume!** The Field Reimbursement Manager (FRM) plays a critical role in facilitating patient access to therapy by navigating complex reimbursement landscapes. Operating within a designated territory, the FRM provides expert guidance on benefit investigations, prior authorizations, claims resolution, and appeals. This client- and customer-facing role requires strong relationship-building skills with healthcare providers and manufacturer partners. The FRM delivers tailored education and support both virtually and on-site, ensuring optimal utilization of reimbursement services. This position demands a high level of autonomy, strategic thinking, and collaboration with internal hub services to meet evolving customer needs. **Key Responsibilities** 1. Act as a strategic reimbursement advisor and primary liaison for healthcare providers, proactively identifying and resolving complex access and reimbursement barriers for assigned therapies. 2. Lead the resolution of high-impact reimbursement cases by overseeing benefit investigations, prior authorizations, claims escalations, and appeals, ensuring timely patient access. 3. Design and deliver advanced payer insights tailored to provider needs, incorporating evolving policy trends and access strategies across remote and in-person platforms. 4. Cultivate and expand strategic partnerships with key provider offices and manufacturer stakeholders to align support services with evolving customer and market dynamics. 5. Drive cross-functional collaboration with internal hub operations, analytics, and client teams to optimize service delivery and elevate the provider and patient experience. 6. Plan and facilitate high-value site engagements, including manufacturer-sponsored training and regional educational forums, to enhance provider readiness and adoption. 7. Serve as a subject matter expert on Medicare and commercial payer structures, translating complex benefit data into actionable insights for stakeholders. 8. Represent the FRM function in field-based initiatives, territory planning, and stakeholder engagement strategies to maximize visibility and impact. 9. Oversee territory-level project execution and account coordination, ensuring alignment with client KPIs, compliance standards, and program milestones. 10. Operate with a high degree of autonomy in a dynamic, client-facing environment, consistently delivering results under tight timelines and shifting priorities. 11. Lead documentation and reporting of all field activities in the FRM CRM system, ensuring data integrity and visibility for internal and client stakeholders. **Minimum Job Qualifications Education/Training:** - 4-year degree in related field or equivalent experience Business Experience: - Entry-level experience in project management - Minimum of 8 years healthcare related reimbursement experience - Strong medical reimbursement experience with Buy & Bill and/or Specialty Pharmacy. - Experience supporting program specific drug therapy space, i.e., oncology, dermatology, etc. - Experience in the healthcare industry including, but not limited to insurance verification, prior authorizations, and/or claim adjudication, physician's office or clinics. - Must have Medicare and commercial insurance coverage experience. - Must be able to deliver and document benefit investigation outcomes and relay status reports on a regularbasis. - Strong customer service experience - Proven presentation skills and experience - Ability to effectively handle multiple priorities within a changing environment. - Excellent organizational skills - Strong Computer literacy to include PowerPoint and Web Meeting experience. Specialized **Knowledge/Skills:** - Previous field experience, a plus - Previous experience with specialty pharmacy a plus - Account management experience, a plus - Excellent Interpersonal skills. - Excellent written and oral communication skills. - Problem solving and decision-making skills. **Working Conditions:** - General Office Demands - Remote, WFH Travel Requirements: - Must reside in territory. - Must be able to travel 80% (4 days a week) via automobile or plane. Confidentiality Notice: This document, including any attachments, is for the sole use of its intended recipients and may contain confidential, Work Instructions - Must have a valid driver's license with a clean driving record/ MVR. Physical Requirements **:** - Possible long periods of sitting and/or keyboard work. General office demands. **-** No PTO/time away between August to November. As a reminder, this role is being recruited for by one of our National Recruitment Teams and not your local Branch. In order to be considered, please follow the steps included upon your application. If you are interested in the role **,** APPLY NOW for instant consideration! **Pay Details:** $58.17 per hour Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable. Equal Opportunity Employer/Veterans/Disabled To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable: + The California Fair Chance Act + Los Angeles City Fair Chance Ordinance + Los Angeles County Fair Chance Ordinance for Employers + San Francisco Fair Chance Ordinance

Job Tags

Hourly pay, Temporary work, Work at office, Local area, Remote work, Work from home, Shift work, Monday to Friday,

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