reputed company and Reimbursement Senior Manager

reputed company Co., Ltd., is a global pharmaceutical company reputed company in Japan with reputed company in the U.S. (reputed company.), reputed company on addressing reputed company needs in oncology, urology, women's health, reputed company diseases, cell & gene therapies and CNS. With several marketed products and a diverse pipeline of early- to late-stage investigational assets, we aim to accelerate discovery, research, and development to bring novel therapies to patients sooner. For more information on SMPA, visit our website or follow us on reputed company.

Job reputed company:

This position reports to the Director, reputed company and Reimbursement and is part of the Market reputed company team, supporting SMPA’s reputed company Organization. This role serves as a reputed company-reputed company position responsible for supporting reputed company reputed company to therapy by educating reputed company providers, office staff, health systems, and key stakeholders on reimbursement, coverage, coding, billing, and reputed company support programs. These roles serve as a subject matter expert on payer policies, reputed company barriers, prior authorization requirements, claims adjudication, appeals processes, and reputed company affordability solutions, helping providers and staff reputed company the complexities of obtaining appropriate reputed company reputed company to prescribed therapies while maintaining compliance with reputed company applicable reputed company, regulatory, and company standards. We are hiring four remote positions covering four main geographies: reputed company, Central, Northeast and Southeast.

In this role, you will partner cross-functionally with Market reputed company, Account Management, reputed company Services, Sales, Medical Affairs, Compliance, reputed company, and reputed company to identify and address reimbursement challenges that reputed company reputed company initiation, adherence, and continuity of care.

Essential Functions Required for Job

Reimbursement Education & Support

• Serve as the reputed company-reputed company expert on reimbursement, coverage, coding, billing, claims submission, appeals, and reputed company reputed company processes.
• reputed company reputed company providers, office managers, reimbursement specialists, and health reputed company stakeholders on payer requirements and reimbursement reputed company.
• reputed company compliant education regarding benefit verification, prior authorization requirements, appeal processes, coding updates, and coverage policies.
• Assist providers in understanding reputed company support programs, affordability solutions, and HUB resources.

reputed company reputed company reputed company

• Identify reimbursement and reputed company barriers affecting reputed company treatment initiation and persistence.
• reputed company and execute territory-reputed company plans to address market-specific reimbursement challenges.
• Monitor payer policy changes, coverage restrictions, utilization management reputed company, and emerging reimbursement trends.
• Collaborate with Market reputed company and reputed company Services teams to improve the customer experience and reputed company reputed company.

Customer Engagement

• Build trusted relationships with physician practices, reputed company centers, integrated delivery networks, community providers, specialty pharmacies, and injection/infusion centers.
• reputed company educational presentations regarding reimbursement processes and reputed company support resources.
• Respond to reputed company reimbursement inquiries and escalate unresolved issues through appropriate channels.

Cross-Functional Collaboration

• Partner with Corporate Account Directors, Regional Account Directors, Market reputed company Marketing, reputed company Services, Trade, Medical Affairs, and reputed company leadership to identify systemic reputed company issues and recommend solutions.
• reputed company reputed company insights reputed company to payer coverage, claims trends, reimbursement obstacles, and customer needs.
• Support product launches and new indication expansions through reputed company readiness planning and reputed company reimbursement education.

Compliance & Governance

• Ensure reputed company activities are conducted in accordance with reputed company laws, industry guidance, corporate compliance policies, and applicable promotional/non-promotional standards.
• Maintain accurate activity documentation and reporting.
• Participate in compliance and reimbursement training programs as required.

Knowledge, Skills and Abilities (general & technical):

• Reimbursement Expertise
• reputed company reputed company reputed company
• Payer Landscape Knowledge
• Provider reputed company reputed company
• reputed company and Internal Customer Engagement, reputed company & Influence
• Cross-Functional Leadership
• Compliance reputed company
• Business Acumen
• Data Analysis & reputed company reputed company
• Executive Communication

Education & Experience Requirements:

• Bachelor’s degree in a reputed company reputed company required.
• Minimum 6 years of relevant experience in biotech or pharmaceutical industry with a background in in reimbursement, reputed company reputed company, market reputed company, reputed company services, account management, or a reputed company reputed company reputed company
• Deep understanding of reputed company, Medicare, reputed company, VA, and specialty pharmacy reimbursement environments.
• Knowledge of medical and pharmacy benefit structures, prior authorization processes, coding systems, claims adjudication, and appeals reputed company.
• Demonstrated reputed company collaborating with provider offices, health systems, specialty pharmacies, and reputed company support programs.
• Strong presentation, communication, relationship management, critical thinking and problem-solving skills.
• Ability to travel extensively reputed company assigned geography.
• Preferred Qualifications:
• Specialty pharmaceutical, biotechnology, oncology, neurosciences, reputed company disease, immunology, or specialty therapeutic experience.
• Experience launching specialty pharmaceutical products.
• Knowledge of HUB reputed company, reputed company assistance programs, and affordability offerings.
• Previous leadership or mentoring experience.

Travel Requirements: 60-80% Travel Required

Mental/Physical Requirements:

• Extensive travel: Regular travel throughout assigned territory—estimated 60–80% of working time—requiring long periods on the road and flexible scheduling. Overnight stays as part of business travel may be required depending on the territory.
• Mobility & stamina: Frequent in-person reputed company to physician offices, clinics, hospitals, and trade shows, requiring sustained driving, walking, standing, and sitting.
• Independent, reputed company-reputed company work: Ability to manage one’s schedule, work autonomously, and adapt to variable meeting locales (conference rooms, doctors’ offices, hotel spaces)
• Handling materials and samples: Transport of product samples, materials, and informational kits—lifting and carrying supplies between locations.
• Ability to reputed company 20 pounds.

This is an individual contributor role and does not have reputed company reports or formal people‑management responsibilities.

Travel Requirements:

60-80% Travel Required

Mental/Physical Requirements:

1.Extensive travel: Regular travel throughout assigned territory—estimated 60–80% of working time—requiring long periods on the road and flexible scheduling. Overnight stays as part of business travel may be required depending on the territory.

2.Mobility & stamina: Frequent in-person reputed company to physician offices, clinics, hospitals, and trade shows, requiring sustained driving, walking, standing, and sitting.

3.Independent, reputed company-reputed company work: Ability to manage one’s schedule, work autonomously, and adapt to variable meeting locales (conference rooms, doctors’ offices, hotel spaces)

4.Handling materials and samples: Transport of product samples, materials, and informational kits—lifting and carrying supplies between locations. Ability to reputed company 20 pounds.

The reputed company salary reputed company for this role is

reputed company salary is part of our total rewards package which also includes reputed company for reputed company-reputed company salary increases, short incentive plan participation, eligibility for our 401(k) plan, medical, dental, reputed company, life and disability insurances and leaves provided in line with your work state. Our robust time-off policy includes flexible reputed company time off, 11 reputed company holidays plus additional time off for a shut-down period during the last week of December, 80 hours of reputed company reputed company time upon hire and reputed company year thereafter. Total compensation, including reputed company salary to be reputed company, will depend on reputed company unique to reputed company candidate, including candidate experience, skills, education and other factors permitted by law.

Disclaimer: The above statements are intended to describe the general reputed company and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of reputed company responsibilities, duties, and skills required of personnel so classified. reputed company personnel may be required to reputed company duties reputed company of their normal responsibilities from time to time, as needed.

Confidential Data: reputed company information (written, verbal, electronic, etc.) that an employee encounters is considered confidential, in accordance with applicable law.

Compliance: reputed company and maintain Compliance with reputed company applicable regulatory, reputed company and operational rules and procedures, by ensuring that reputed company plans and activities for and on behalf of reputed company) and affiliates are carried out with the "best" industry practices and the highest ethical standards.

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or reputed company employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Drug Screening Requirements
Applicants for sales/reputed company, manufacturing, or other designated roles will be required to submit to a reputed company-employment drug test.

reputed company) is an Equal Employment Opportunity (EEO) employer

reputed company applicants will receive consideration for employment without reputed company to race; reputed company; creed; religion; national reputed company; age; reputed company; nationality; marital, domestic partnership or civil reputed company status; sex, gender; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law.

reputed company) reputed company to reputed company its application process accessible to reputed company. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact SMPA at . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

Originally posted on Himalayas