Field Reimbursement Manager (FRM) – Texoma Ecosystem
Why Genentech
We’re passionate about delivering on Our Promise to improve the lives of patients and create healthier communities for all. We foster a culture of inclusivity, integrity and creativity while boldly pursuing answers to the world’s most complex health challenges and transforming society.
The Opportunity
As a Field Reimbursement Manager (FRM), you are a critical patient access champion within our localized ecosystem model, dedicated to dismantling complex reimbursement barriers so patients can access life-changing Genentech therapies without delay. In this strategic, high-visibility role, you will navigate intricate coverage frameworks across our portfolio, consult directly with health system administrators and practice leaders, and empower multidisciplinary internal teams to optimize patient access journeys.
Partner strategically with healthcare decision-makers, billing managers, and practice leaders to eliminate operational bottlenecks, clarify payer coverage criteria, and streamline reimbursement pathways.
Resolve the most complex, non-standard patient access cases by applying deep mastery of public and private payer policies, prior authorization protocols, step therapy dynamics, and appeal processes.
Serve as the vital two-way conduit between field ecosystem teams and Home Office functions (including Access Solutions, Commercial, and Government Affairs) to communicate real-time shifts in local payer practices.
Formulate and implement comprehensive educational frameworks to upskill ecosystem partners—including Therapeutic Area Managers (TAMs) and case managers—on navigating simple to moderately complex access challenges.
Execute integrated, localized ecosystem business plans that expand health equity, remove systemic access disparities for underserved communities, and achieve measurable access milestones.
Champion best practices and collaborative insights across the national Reimbursement Community of Practice (COP) to continuously evolve access strategies.
Uphold the highest standard of ethical conduct and regulatory rigor, ensuring all customer engagements align strictly with Promotional Review Committee (PRC) approvals and compliance guidelines.
Who you are
You hold a Bachelor’s degree, at minimum.
You bring 8+ years of experience in the healthcare, pharmaceutical, biotechnology, or life sciences industry.
You have a minimum of 5 or more years of experience with managed care, public/private payer frameworks, and reimbursement mechanics within pharma/biotech, large-scale clinical practice management, or pharmacy administrator in hospital/ specialty clinics directly working with managed care and reimbursement at scale (handling prior authorizations, formularies, and payer negotiations).
You possess demonstrated expertise in billing environments, Buy-and-Bill distribution, specialty pharmacy fulfillment, and practice management operations.
Preferred
You ideally hold a Master of Business Administration (MBA), Master of Health Administration (MHA), or a related advanced graduate degree.
You might also bring multi-therapeutic or broad specialty portfolio management experience spanning complex disease states (e.g., oncology, immunology, ophthalmology, or rare disease).
You ideally have a prior commercial cross-functional background across field sales, market access marketing, account management, or patient access solutions.
You will stand out if you demonstrate a proven track record of designing, implementing, and exceeding quantifiable business plans and customer access objectives.
You will be particularly successful if you possess advanced familiarity with Medicare Part B/D, commercial payer medical policies, state Medicaid programs, and 340B dynamics.
You are ideally someone who brings an established record of peer mentorship, knowledge sharing, and field leadership within a matrixed team.
Location
Candidates must live within the ecosystem for…