Field Access & Reimbursement Manager, Northeast

About the Role

The Field Access & Reimbursement Manager is the primary field-based lead for market access education, assistance, and issue resolution with healthcare providers (HCPs) and their office staff to facilitate appropriate patient access to MiniMed's diabetes therapies and technologies. This role serves as the lead reimbursement and access subject matter expert, spending approximately 70 percent of time in the field supporting HCP offices with prior authorization requirements, documentation needs, and payer-related and fulfillment access challenges. The role also functions as the primary point of contact for triaging access issues to internal teams such as DME and PBM account management, retail pharmacy or distribution, ensuring timely and compliant resolution.

Key Responsibilities

Field-Based Reimbursement Support

• Serve as a field-based reimbursement and access expert for assigned geography
• Provide compliant education to HCPs and office staff on reimbursement processes, payer coverage criteria, prior authorizations, and documentation requirements
• Support HCP offices in understanding payer-specific requirements to facilitate accurate and timely submissions
• Identify systemic access barriers and support resolution strategies within established policies and procedures
• Build strong, collaborative relationships with HCPs and office personnel as a trusted reimbursement and patient access resource

Access Issue Management and Triage

• Act as the primary field contact for HCP-reported reimbursement and access challenges
• Triage cases appropriately to DME and PBM account management, retail pharmacy, distribution, or other internal access support functions based on issue type and complexity
• Partner cross-functionally to ensure seamless handoffs, clear accountability, and timely follow-up with sales team
• Monitor case progress and outcomes, ensuring alignment with customer expectations and internal service standards

Cross-Functional Collaboration and Insights

• Collaborate with Sales, Market Access, Patient Services, Legal, Compliance, and other internal stakeholders to support aligned customer engagement
• Capture, synthesize, and communicate field insights related to payer policies, access trends, and reimbursement challenges
• Provide feedback to internal teams to support continuous improvement of access programs and resources
• Stay current on reimbursement policy changes, payer landscape dynamics, and diabetes market trends

Scope and Impact

• Acts with a sense of urgency to address critical access and affordability issues for patients
• Influences reimbursement outcomes through education, issue resolution, and coordination with internal access resources
• Operates independently within established policies while escalating complex issues as appropriate

Required Qualifications

To be considered for this role, please ensure the minimum requirements are evident in your resume.

• Bachelor's degree in healthcare or business/public administration and 5+ years of experience in reimbursement, market access, patient services, or field-based healthcare support roles

Preferred Qualifications

• Account Management and/or Reimbursement experience working in the provider office setting, building strong customer relationships, or experience in working with patient support HUB services
• Ability to establish relationships, collaborate, and influence across a matrix organization
• Problem-solving ability to navigate challenging access scenarios and identify solutions in a timely and efficient manner
• Relevant certifications in prior authorization and/or billing and coding
• Strong market access acumen as it relates to payer approval processes and appeals for both pharmaceutical and medical device products
• Deep understanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement of medical devices and durable medical equipment
• Demonstrated expertise with both pharmacy and medical device coding and billing