Field Reimbursement Specialist Senior Manager - West

Job Summary

The Tezspire Field Reimbursement Regional Senior Manager is responsible for leading a regional team of Field Reimbursement Managers and executing reimbursement strategy to support optimal access to Tezspire within the Respiratory therapeutic area. This leader builds and coaches a high-performing team, translates national and regional priorities into strong field execution, and creates a culture of accountability, collaboration, inclusion, and positive momentum.

Key Responsibilities

• Lead, coach, develop, and retain a high-performing team of Field Reimbursement Managers through clear expectations, regular coaching, field observations, meaningful feedback, performance management, and intentional development planning.
• Build and sustain a strong team culture grounded in accountability, collaboration, inclusion, trust, and positive momentum.
• Establish clear performance expectations and hold the team accountable for achieving defined field KPIs, service-level expectations, customer engagement measures, and business objectives.
• Meet established Sr. Manager field-time and coaching expectations and ensure appropriate field presence across the region.
• Ensure the team consistently delivers excellence in the access experience through strong reimbursement expertise, responsive customer engagement, effective issue resolution, appropriate follow-through, and compliant execution.
• Develop and execute regional strategies that translate national access priorities into actionable territory and account plans.
• Coach FRMs to apply account management principles, analytical reasoning, and fact-based decision making to prioritize accounts and resources.
• Maintain strong expertise across both Specialty Pharmacy (pharmacy benefit) and Buy & Bill (medical benefit) reimbursement.
• Monitor national, regional, and local payer dynamics, reimbursement policy, competitive landscape, channel trends, reimbursement economics, and evolving stakeholder practices.
• Lead compliant cross-functional collaboration with Sales, Key Account Management, Market Access, Medical, HUB, Operations, Training, and other appropriate partners.
• Lead regional business reviews and performance discussions that integrate field KPIs, account insights, payer trends, access barriers, and opportunities.
• Identify, escalate, and help resolve systemic access, reimbursement, process, or operational issues.
• Ensure team compliance with established business rules, policies, procedures, privacy requirements, and field reimbursement rules of engagement.
• Partner with Training and Capability Development to identify skill gaps, support onboarding, reinforce reimbursement and account-management capabilities.
• Drive operational excellence through effective regional planning, resource prioritization, expense management, CRM adoption, timely documentation, escalation management, and consistent execution of established processes.
• Hire and onboard strong talent, build succession and development plans, and create an environment where team members are empowered to grow.
• Demonstrate leadership through influence across a complex matrix organization.

Basic Qualifications

• Doctorate degree and 2 years of public or private third-party access arena or pharmaceutical industry in sales, managed care, or clinical support experience OR
• Master's degree and 4 years of public or private third-party access arena or pharmaceutical industry in sales, managed care, or clinical support experience OR
• Bachelor's degree and 6 years of public or private third-party access arena or pharmaceutical industry in sales, managed care, or clinical support experience OR
• Associate's degree and 10 years of public or private third-party access arena or pharmaceutical industry in sales, managed care, or clinical support experience OR
• High school diploma / GED and 12 years of public or private third-party access arena or pharmaceutical industry in sales, managed care, or clinical support experience

Preferred Job Qualifications

• Bachelor's degree in business, healthcare, or a related field.
• Five years of experience as a manager/first-line leader or demonstrated people leadership experience with responsibility for coaching, developing, motivating, and managing performance of others.
• Three years of experience in the public or private third-party access arena or pharmaceutical/biotechnology industry in field reimbursement, managed care, market access, clinical support, or a related access role.
• Demonstrated expertise in both Specialty Pharmacy (pharmacy benefit) and Buy & Bill (medical benefit) reimbursement, including prior authorization, appeals/denials, coding, billing, claims, benefit design, and patient support programs.
• Strong understanding of commercial payer, Medicare, and Medicaid access and reimbursement dynamics.
• Demonstrated ability to lead and coach account management, business planning, and customer engagement within a field-based reimbursement organization.
• Proven strategic planning, analytical reasoning, and fact-based decision-making skills.
• Demonstrated ability to build a strong team culture, establish clear expectations, create accountability, and manage individual and team performance.
• Strong cross-functional leadership and collaboration skills with the ability to influence outcomes across a complex matrix organization.
• Demonstrated commitment to ethical, legal, and compliance standards.
• Proven presentation, facilitation, coaching, and communication skills.
• Organizational and project management skills.
• Experience using CRM and performance-management tools.
• Experience in the healthcare industry, including physician offices/clinics, specialty pharmacy, HUB services, insurance verification, claim adjudication, or pharmaceutical/biotechnology manufacturers.
• Previous experience leading a field reimbursement team supporting specialty pharmaceutical or biologic products and/or launching new products or indications.
• Advanced experience with dual-benefit products and the operational differences between Specialty Pharmacy and physician-administered Buy & Bill channels.
• Knowledge of Managed Care, Government and Federal payer sectors, Integrated Delivery Networks/Integrated Health Systems, and regional payer dynamics.
• Advanced knowledge of medical insurance terminology, CMS policies and processes, reimbursement regulations, coding, coverage, and payment methodologies.
• Experience developing talent, assessing readiness, building succession plans, and coaching leaders or future leaders.
• Experience leading business reviews and using performance measures, market insights, and customer feedback to improve field execution and access experience.
• Experience partnering with training, operations, HUB, technology, and other enabling functions to improve field capabilities and processes.

Working Conditions

Field-based leadership role with regular in-person engagement across the assigned region; must meet established field-time and coaching expectations. General office demands - Remote, Work from Home. Must be able to travel up to 60-80% via automobile or plane, based on geography and business needs. Must have a valid driver's license with a clean driving record.