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Field Reimbursement Manager-New England

L7

harrow defunctDenver, COtoday

Occupations

Farmers, Ranchers, and Other Agricultural ManagersFinancial ManagersRegulatory Affairs Managers

Industries

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension FundsOffices of PhysiciansDirect Health and Medical Insurance Carriers
Field Reimbursement Manager-New England New England, USHarrow (Nasdaq: HROW) is a leading provider of ophthalmic disease management solutions in North America. Harrow is an incredible entrepreneurial company – where we celebrate the ability of every member of the Harrow Family to be the CEO of their job. Harrow's values have driven interest over the past decade in attracting high-performing professionals in a variety of disciplines. Members of our Harrow Family often express their pride in being a part of our commitment to (1) innovation, (2) patient access to affordable medicines, and (3) our track record of having never turned down an ophthalmologist doing mission work around the world – providing free medicines in support of mission work aimed at giving or maintaining the gift of sight to those most in need. We encourage you to learn more about Harrow and its unique culture to see if you're the right person to help contribute as we build a truly exceptional company, one we are all so proud of! Harrow's ophthalmic pharmaceutical portfolio is one of the most comprehensive in the industry, including: An expanding Retina Portfolio including IHEEZO®, TRIESENCE®, BYOOVIZTM, and OPUVIZTMA broad Dry Eye Disease product line, led by VEVYE® and bolstered by well-known adjacent ocular surface disease products such as FLAREX® and FRESHKOTE®A peri-operative Surgical product line, led by TRIESENCE® and BYQLOVITMA Rare and Specialty product line, which includes various high-need and utility products such as ILEVRO®, NATACYN®, and VERKAZIA®A robust internal development pipeline with multiple late-stage candidates, including MELT-300, MELT-210, H-N08, and CR-01
Position Summary: Harrow is seeking a Field Reimbursement Manager (FRM) to serve as the trusted, in-market reimbursement expert for physician practices utilizing Harrow's buy-and-bill drug portfolio across the Retina and Surgical franchises. This individual will provide non-promotional, compliant education on coverage, coding, billing, and claims processes — giving customers the confidence and technical know-how to appropriately access and be reimbursed for Harrow brands. The ideal candidate is a proactive problem-solver who thrives in the field, builds strong relationships with practice staff, and brings sharp analytical skills to identify and resolve access barriers at the account level. This role is part of a hard-charging, high-accountability team focused on one outcome: expanding appropriate patient access to Harrow therapies.
Core Responsibilities:
  • Customer Education & Reimbursement Support
  • Serve as the primary field point of contact for practice administrators, billing/coding staff, and clinical staff on reimbursement matters related to Harrow buy-and-bill brands
  • Provide non-promotional education on payer coverage policy, medical benefit billing/coding (HCPCS/CPT/J-codes, ICD-10, modifiers), prior authorization requirements, and claims submission best practices
  • Support practices through the prior authorization and appeals process by educating staff on payer-specific requirements and documentation needs
  • Educate practices on available support programs, including patient assistance, product replacement, and sample programs, and coordinate warm handoffs to the HUB as needed
  • Account Management & Business Reviews
  • Build and maintain trusted relationships with key accounts within an assigned territory
  • Conduct regular, structured business reviews with accounts to assess reimbursement performance, identify denial trends, and develop action plans to resolve barriers
  • Proactively identify at-risk accounts (e.g., high denial rates, low utilization due to access friction) and develop targeted intervention plans
  • Partner with Sales to align on account priorities and ensure a coordinated, compliant approach to customer support
  • Claims & Payer Analysis
  • Conduct account-level claims analysis to identify denial patterns, coding errors, or payer-specific barriers, and translate findings into clear, actionable guidance for the practice
  • Maintain current, deep knowledge of payer policies (commercial, Medicare, Medicare Advantage, Medicaid) relevant to assigned brands and territory
  • Escalate systemic or complex payer issues to the National Sr. Director and Market Access leadership with supporting data and recommendations
  • Collaboration & Reporting
  • Partner closely with the HUB and Patient Services team to ensure seamless coordination on benefit verification, PA/appeals support, and patient assistance
  • Provide regular field intelligence and account-level insights to leadership to inform national strategy and payer engagement
  • Maintain accurate, timely documentation of account activity, business reviews, and issue resolution in CRM/reporting systems
  • Represent Harrow professionally and compliantly at all times, strictly adhering to all applicable laws, regulations, and company policies
Qualifications & Requirements:
  • 7+ years of proven success in the healthcare-related field, reimbursement, brand management, and/or sales experience.
  • Bachelor's degree preferred, or equivalent work experience.
  • Buy-and-bill experience required.
  • Minimum 2 years of Field Reimbursement experience required.
  • Healthcare credentialing and/or certification preferred.
  • Eye care experience preferred.
  • Private equity experience preferred.
  • HCPCS Level II (J-code) and Transitional Pass-Through reimbursement experience preferred.
  • Experience with benefit verifications, prior authorizations, claim assistance, and appeals.
  • Payer coverage experience with Medicare (MACs), Medicare Advantage, Commercial, and Medicaid plans.
  • Experience in conducting claims analysis and conducting regular QBRs with accounts
  • Position TypeRemoteTravelUp to 80%
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Apply now (opens in a new tab)

Level

ManagerL7

Location

Denver, CO

Occupation

Farmers, Ranchers, and Other Agricultural Managers

Industry

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds

Posted

today

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