Field Reimbursement Manager - Kidney

Responsibilities

• Serve as a local subject matter expert to nephrology practices, providing non-promotional access and reimbursement education.
• Establish strong connections with nephrology office personnel to support patient access to prescribed medications.
• Partner with case management teams to address escalated access issues and ensure coordinated workflows.
• Educate medical offices on copay, patient assistance programs (PAP), bridge programs, and other affordability pathways.
• Conduct on-site and virtual training regarding regional payer policies, formulary updates, coding/billing (ICD-10, CPT), and reimbursement workflows.
• Manage a multi-state geographic region, prioritizing accounts based on patient need and payer dynamics.
• Develop territory engagement plans to minimize patient-specific access barriers.

Requirements

• Bachelor’s degree in healthcare, life sciences, or business.
• 5+ years of experience in sales, reimbursement, market access, specialty pharmacy, or field-based access roles.
• Deep understanding of Medicare, Medicaid, and commercial insurance plans, including benefits investigations and PA processes.
• Experience working with specialty biologics, rare disease therapies, or complex pharmacy benefit products.
• Ability to travel 50-70% within the assigned territory.
• Proficiency in Salesforce CRM and Microsoft Office (Outlook, Word, Excel, PowerPoint).
• Valid driver's license and ability to meet healthcare industry representative credentialing requirements.

Preferred Qualifications

• Advanced degree in business, healthcare, or social services.
• Proven experience in account management working directly with HCPs and office staff to navigate complex access challenges.
• Strong analytical skills with the ability to leverage data and reporting tools to manage caseloads.

About the Company

Vertex is a global biotechnology company that invests in scientific innovation to create transformative medicines for people with serious diseases. The company is dedicated to advancing clinical and research programs in areas including cystic fibrosis, sickle cell disease, and kidney diseases.