Field Reimbursement Manager - Kidney (East Texas-Louisiana)

Vertex is a global biotechnology company dedicated to scientific innovation with a strong commitment to advancing therapies for serious kidney diseases. The company is currently expanding its field reimbursement team to support the potential commercialization of investigational therapeutics for Immunoglobulin A nephropathy (IgAN), additional B cell-mediated diseases, and other genetic kidney diseases. This growth reflects Vertex's mission to develop and deliver life-changing therapies to patients living with complex kidney conditions, ensuring they receive timely access to these innovative treatments.

Vertex fosters an inclusive work environment providing equal employment opportunities to all employees and qualified applicants regardless of race, color, sex, gender identity or expression, age, religion, national origin, ancestry, ethnicity, disability, veteran status, genetic information, sexual orientation, marital status, or any other characteristic protected by law. The company also offers reasonable accommodations for individuals with disabilities and participates in E-Verify within the United States.

The Field Reimbursement Manager role is critical within the Kidney Patient Support Program (KPSP). This field-based position acts as a local subject matter expert to nephrology practices, offering crucial non-promotional access and reimbursement education. The primary goal is to ensure that patients prescribed Vertex’s kidney therapies gain timely and efficient access through strategic troubleshooting and extensive territory-level payer expertise. This role supports patient access by establishing strong on-site connections with nephrology office staff responsible for prior authorizations and patient access programs. The manager works closely with case management teams to escalate and resolve complex access issues, using CRM tools to coordinate workflow and guarantee continuous communication and timely follow up.

Beyond direct patient and provider interaction, this role requires deep knowledge of commercial and government insurance coverage regulations, including payer policies, formulary updates, prior authorization criteria, coding and billing requirements, and distribution pathways. The Field Reimbursement Manager conducts both on-site and virtual training sessions educating healthcare providers and their staff with compliant, up-to-date information on specialty drug access and reimbursement processes. In managing a multistate geographic area, the manager prioritizes accounts based on patient needs, payer trends, and KPSP demands, adapting engagement strategies to respect existing office workflows and minimize disruption.

The role demands adherence to strict non-promotional guidelines, compliance with all relevant legal and privacy standards, and confidentiality of all patient health information. This is a results-driven position within a growing business unit, requiring strong communication, relationship-building, analytical, and strategic planning skills. The successful candidate will be proficient in CRM systems such as Salesforce, Microsoft Office applications, and will be comfortable working in a fast-paced environment with frequent travel (around 50-70%). Educational qualifications include a bachelor’s degree in healthcare, life sciences, or business, with advanced degrees considered a plus, alongside a minimum of five years of relevant experience in sales, reimbursement, market access, specialty pharmacy, patient services, or related roles.

The compensation range is $136,000 to $204,000, and the position offers eligibility for an annual bonus, equity awards, and a comprehensive benefits package including medical, dental, vision, paid time off, educational assistance, 401(k), and more. Vertex is committed to supporting employee growth, wellbeing, and work-life balance through a variety of flexible, inclusive Total Rewards programs.