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Ascendis Pharma is on a mission to become a leading rare-disease company within the biopharmaceutical industry. The company strives to build high-quality therapeutics that impact m
Field Reimbursement Manager, Southern California
Location
California
Posted
122 days ago
Salary
$180K - $190K / year
Seniority
Lead
Job Description
Field Reimbursement Manager, Southern California
Ascendis Pharma
• Act as a compliant subject matter expert (SME) in reimbursement, access, and specialty distribution for assigned geography. • Provide education to HCP offices on coverage status, prior authorization processes, appeals, and alternate funding options for uninsured/underinsured patients. • Build and maintain productive relationships with HCPs, office staff, and health system stakeholders. • Analyze regional and local payer coverage trends, reimbursement criteria, and payer mix. • Provide guidance on specialty pharmacy services and help customers navigate complex distribution channels. • Partner with the Patient Support team to ensure accurate benefit investigations and streamlined patient onboarding. • Collaborate with internal partners to build local access strategies aligned with business objectives. • Develop and execute territory-level business plans using strategic customer insights. • Participate in field-based problem-solving, including reimbursement issue resolution and case escalation when needed. • Identify process improvements and innovations to enhance patient access and provider satisfaction. • Maintain compliance with legal, regulatory, and company policies, especially those governing patient privacy and promotional conduct.
Job Requirements
- Bachelor’s degree in an allied health field prefer**red or equivalent work experience.
- 8+ years of experience in the pharmaceutical, biotech, or related healthcare industry.
- Previous Reimbursement Experience Required:** Candidates should have substantial experience with prior authorizations and navigating the US payer landscape.
- 3–6 years of **experience supporting** **Specialty Pharmaceuticals/Biologics**.
- Deep understanding of reimbursement, access, and specialty pharmacy operations.
- Experience supporting product launches or guiding patients through insurance approval processes.
- Strong understanding of **Specialty Pharmacy distribution models** and patient services programs.
- Knowledge of **HIPAA** and other federal/state laws governing patient confidentiality and healthcare communications.
- Bilingual skills are highly desired (English/Spanish)**.
- Proven track record supporting complex therapies in rare or specialty conditions
- Exceptional communication and interpersonal skills with the ability to build trust with providers, and internal partners.
- Comfort navigating ambiguity, managing multiple cases simultaneously, and solving problems in real time.
- Digital fluency with CRM platforms and comfort educating patients on technology-enabled support tools, including AI-based platforms.
Benefits
- 401(k) plan with company match
- Medical, dental, and vision plans
- Company-offered Life and Accidental Death & Dismemberment (AD&D) insurance
- Company-provided short and long-term disability benefits
- Unique offerings of Pet Insurance and Legal Insurance
- Employee Assistance Program
- Employee Discounts
- Professional Development
- Health Saving Account (HSA)
- Flexible Spending Accounts
- Various incentive compensation plans
- Accident, Critical Illness, and Hospital Indemnity Insurance
- Mental Health resources
- Paid leave benefits for new parents
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