Field Reimbursement Manager - East Coast at Vericel Corporation

Washington, District of Columbia, United States -

Full Time

Start Date

Immediate

Expiry Date

19 Jun, 26

Salary

120000.0

Posted On

21 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Reimbursement, Patient Access, Coding, Billing, Procurement, Market Access, Cross-Functional Collaboration, Relationship Building, Problem Solving, Data Analysis, Medical Benefit, CPT Coding, HCPCS Coding, Claims Submission, Appeals, Revenue Cycle

Industry

Biotechnology Research

Description

At Vericel Corporation, we are pioneers in advanced cell therapies for sports medicine and severe burn care, transforming patient lives through cutting-edge regenerative medicine. Our commitment to innovation, patient-centered focus, and scientific excellence drives us to develop groundbreaking treatments including MACI (knee cartilage repair), Epicel and Nexobrid (burn care). Position Summary The Field Reimbursement Manager (FRM) plays a critical role in supporting patient access to Vericel therapies by reducing reimbursement and procurement friction at the site of care. This field-based role partners closely with healthcare facilities, internal commercial teams, and external service providers to ensure appropriate reimbursement pathways, accurate coding, and timely payment for Vericel products. The FRM serves as a trusted reimbursement resource for customers and a subject matter expert within the organization. This position supports mid-Atlantic and southeastern states, and the ideal candidate lives within the covered geography. Schedule: This is a remote position based on the East Coast and will require 30-50% travel. Ideal locations would be Philly, D.C and Raleigh NC. Key Responsibilities: Customer & Site Support * Educate healthcare facilities on procurement, reimbursement, and billing options for Vericel products. * Support new sites of care with initial ordering, onboarding, and reimbursement processes. * Assist facilities in identifying appropriate coding, billing, and reimbursement pathways under the medical benefit. * Proactively follow up with sites to track claims submission, payment status, and resolution of reimbursement issues. * Assist customers with appeals and reconciliation for under-reimbursement, including support for non-direct billing agreement contracts. * Support customers in securing single case agreements for Epicel® and/or MACI®. * Mitigate product procurement challenges at sites of care to minimize treatment delays, cancellations, or reductions. Cross-Functional & Strategic Collaboration * Partner with internal Vericel colleagues across Commercial, Market Access, Sales, and Operations to develop and execute access and reimbursement strategies. * Collaborate with Vericel’s hub services, specialty pharmacy, and other contracted partners to support seamless customer experience. * Build and maintain strong relationships with key customer stakeholders, including billing departments, procurement teams, CFOs, and revenue cycle leaders. * Participate in knowledge sharing initiatives to improve market awareness of reimbursement dynamics and best practices. Data, Reporting & Insights * Analyze reimbursement and program data to assess performance and communicate insights to the Commercial organization. * Identify trends, risks, and opportunities related to payer policies, reimbursement outcomes, and customer behaviors. * Serve as an internal and external subject matter expert on reimbursement policies, payer requirements, and access challenges. Required Qualifications & Experience * Deep understanding of medical benefit reimbursement, CPT and hospital billing processes. * Experience supporting reimbursement for complex biologics and surgical procedures, including HCPCS and CPT coding. * Demonstrated experience working with hospital accounts and site-of-care stakeholders. * Strong understanding of how payer and reimbursement policies impact prescriber behavior, patient access, and sales force activity. * Proven ability to work cross-functionally within a matrix organization and with external partners. * Strong communication, relationship-building, and problem-solving skills. * Ability to manage multiple priorities in a fast-paced, field-based environment. * Ability to travel 30-50% of the time. Preferred Qualifications * Prior experience as a Field Reimbursement Manager or similar market access role. * 3–5 years of experience working with Part A (Hospital) and Part B (Outpatient). * Experience supporting products used in hospital or surgical settings. * Familiarity with single case agreements, appeals processes, and reimbursement reconciliation. * Data-driven mindset with experience translating insights into actionable strategies. * Bachelor’s degree preferred. Why Vericel? * Cutting-Edge Science: Work with a leading regenerative medicine product that is transforming patient care. * Career Growth: Be a part of a growing organization with opportunities to expand your impact. * Collaborative Culture: Work alongside a team of dedicated professionals who are passionate about improving lives. The salary range Vericel reasonably and in good faith expects to pay for this position at the time of this posting is $100,000 to $120,000 annually. The actual salary offered will be determined based on factors such as the candidate’s qualifications, experience, and skills. Bonus, incentive pay, equity and benefits may be provided in addition to the base compensation listed above. In accordance with Massachusetts law, Vericel provides the pay range that it reasonably and in good faith expects to pay for a particular and specific employment position at the time of posting or offer. This range is subject to change based on business needs, market conditions, and individual qualifications. Employees and applicants may request the pay range for their position or for a position to which they are applying. Retaliation for making such a request is strictly prohibited. EEO Statement All applicants will receive consideration for employment without regard to their race, color, religion, sex, national origin, sexual orientation, gender identity, or protected veteran status and will receive consideration for employment and will not be discriminated against on the basis of disability. Vericel Corporation is an Equal Opportunity/Affirmative Action Employer. Vericel Corporation is VEVRAA federal contractor and desires priority referrals of protected veterans for job openings at all locations within the state.

Responsibilities

The Field Reimbursement Manager supports patient access to therapies by reducing friction related to reimbursement and procurement at healthcare sites, acting as a subject matter expert for customers and internally. Key duties involve educating facilities on billing/reimbursement, tracking claims, assisting with appeals, and mitigating procurement challenges to prevent treatment delays.