Field Reimbursement Manager - Kidney (Southern California - San Diego and Anaheim)

Vertex is a global biotechnology company that is dedicated to scientific innovation, with a strong commitment to developing groundbreaking therapies for serious diseases. Known for its advancements in the treatment of cystic fibrosis, Vertex is expanding its efforts into the realm of kidney diseases, particularly focusing on rare and serious conditions such as Immunoglobulin A nephropathy (IgAN) and other genetic kidney diseases. This expansion signals the company’s dedication to improving patient outcomes in complex therapeutic areas by leveraging cutting-edge research and technology. Vertex’s inclusive and supportive work culture encourages continuous learning and growth while prioritizing diversity, equity, inclusion, and accessibility in all aspects of its operations. The company offers a competitive base salary ranging from $136,000 to $204,000, along with bonuses and equity awards, benefiting employees who demonstrate high levels of expertise and commitment.

The role of Field Reimbursement Manager within Vertex’s Kidney Patient Support Program (KPSP) is crucial for ensuring patients receive timely access to innovative kidney therapies. This field-based position acts as a local subject matter expert, working directly with nephrology practices to provide non-promotional education and support on access and reimbursement pathways. The Field Reimbursement Manager serves as a vital link between healthcare providers and the complex payer landscape, offering expertise on commercial and government insurance coverage requirements. Responsibilities include educating nephrology office personnel on copay assistance, patient assistance programs, and other affordability options that help alleviate financial barriers to treatment.

Successful candidates will independently manage a multistate geographic region, prioritizing accounts based on patient needs, payer dynamics, and program demands. This requires an in-depth understanding of insurance policies, prior authorization criteria, and reimbursement workflows, as well as the ability to develop strategic engagement plans tailored to the local payer environment. Strong relationship-building skills are essential, as the role involves frequent collaboration with healthcare providers, office staff, internal patient support teams, and external vendors. The ability to navigate complex CRM systems and payer portals effectively is also key to managing caseloads and ensuring consistent, compliant communication.

Moreover, this position demands adherence to strict non-promotional guidelines and legal compliance, ensuring all patient interactions maintain confidentiality and meet regulatory standards. Travel within the assigned territory is required at a rate of 50-70%, making flexibility and self-direction important attributes. Vertex provides extensive support to its employees, offering comprehensive health benefits, generous paid time off including company-wide shutdowns, educational assistance like student loan repayment, and other perks designed to support personal and professional growth. The Field Reimbursement Manager role is an excellent opportunity for professionals with experience in specialty biologics, rare diseases, or pharmacy benefits to influence patient access on a regional scale while advancing their career within a reputable, innovation-driven biotech company.