Field Reimbursement Manager

Key Responsibilities

• Educate healthcare facilities on procurement, reimbursement, and billing options for Vericel products.
• Support new sites of care with initial ordering, onboarding, and reimbursement processes.
• Assist facilities in identifying appropriate coding, billing, and reimbursement pathways under the medical benefit.
• Proactively follow up with sites throughout the reimbursement lifecycle to track claims submission, payment status, and resolution of reimbursement issues.
• Assist customers with appeals and reconciliation for under-reimbursement, including support for non-direct billing agreement contracts.
• Support customers in securing single case agreements for Epicel and/or MACI.
• Identify and proactively address product procurement and reimbursement challenges at sites of care to minimize treatment delays, cancellations, or reductions.
• Partner closely with internal Vericel colleagues across Commercial, Market Access, Sales, and Operations to support customer needs and develop and execute access and reimbursement strategies.
• Collaborate with Vericel's hub services, specialty pharmacy, and other contracted partners to support a seamless customer experience.
• Build and maintain strong relationships with key customer stakeholders, including billing departments, procurement teams, CFOs, and revenue cycle leaders.
• Participate in knowledge sharing initiatives to improve market awareness of reimbursement dynamics and best practices.
• Analyze reimbursement and program data to identify trends, risks, and opportunities and communicate actionable insights to the Commercial organization.
• Serve as an internal and external subject matter expert on reimbursement policies, payer requirements, and access challenges.

Qualifications, Education, and Experience

• 7+ years of progressive experience in healthcare reimbursement, market access, or a related field, including 3-5 years of experience as a Field Reimbursement Manager or in a similar field-based reimbursement role.
• Strong understanding of medical benefit reimbursement, CPT/HCPCS coding, and hospital billing processes.
• Experience working with hospital accounts and site-of-care stakeholders, particularly billing, revenue cycle, procurement, and administrative teams.
• Experience supporting reimbursement for complex biologics and surgical procedures.
• Strong understanding of how payer and reimbursement policies impact prescriber behavior, patient access, and sales force activity.
• Experience with reimbursement challenges including appeals, reconciliation, under-reimbursement, and/or single case agreements.
• Experience supporting products used in hospital or surgical settings.
• Proven ability to work cross-functionally within a matrix organization and with external partners.
• Strong communication, relationship-building, analytical, and problem-solving skills.
• Self-directed and proactive, with the ability to identify opportunities, solve problems, and operate effectively in an evolving environment.
• Data-driven mindset with experience translating insights into actionable strategies.
• Bachelor's degree preferred.

Working Conditions and Physical Demand

• Ability to manage multiple priorities in a fast-paced, field-based environment.
• Ability to travel 30-50% of the time.