AstraZeneca Posted August 7, 2026

US Field Reimbursement Manager, Rare Neurology, Hematology, & Nephrology (Indiana)

Wilmington, Delaware, United States of America Full time
Market Access Neuroscience Manager

AstraZeneca is the source of truth for this posting and owns the application process. We surface normalized context and market comparison you won't find on the original listing.

About this opportunity

This is what you will do: 

The Field Reimbursement Manager (Rare Neurology, Hematology, & Nephrology) is a field-based, non-promotional role responsible for helping minimize barriers to patient access for our rare disease portfolio. You will act as the local subject matter expert on reimbursement, billing, coding, and patient support programs for assigned indications and therapies. By educating healthcare provider (HCP) offices, billing staff, and financial coordinators, you will help navigate complex coverage landscapes to ensure eligible patients receive timely access to therapy. This role reports directly to the Regional Field Reimbursement Director.

You will be responsible for: 

Partnering with Alexion cross-functional partners on overall account and territory planning and strategy to maximize internal/external customer knowledge on payer policy and processes as well as routine documentation and presentation of plans.

Being a subject matter expert on reimbursement and regional-specific access landscape. This includes medical/pharmacy benefit design, product acquisition, payer policies and coverage criteria, prior authorization requirements, denials, appeals, peer to peer and other education required to navigate access for coverage of assigned Alexion indications and therapies while operating in full alignment with company policy, legal requirements, and compliance standards.

Develop and execute strategic account and territory plans that increase customer knowledge of reimbursement and access processes, using available resources, internal data, and field insights to prioritize activity and guide call objectives.

Collaborating with Alexion OneSource Patient Services on individual case management needs related to HCP education on reimbursement issues.

Identify, document, and communicate field insights related to payer policy shifts, access barriers, denial trends, operational challenges, and customer education needs to help inform internal planning and decision-making.

Collaborating with cross-functional partners to share insights and coordinate/ plan activities; attending internal regularly (with market access, patient services, medical, sales, compliance, legal, and other relevant partners, as appropriate) and company meetings as requested.

Maintain accurate documentation and operational reporting related to customer interactions, account plans, HCP office education, and case-related activity in CRM and other approved systems, while managing work in alignment with annual priorities, key performance indicators, territory objectives, project priorities, and approved budget parameters

Complying with all laws, regulations and policies that govern the conduct of Alexion activities; works with the highest degree of professionalism and in accordance with the company’s code of Ethics and Business Conduct.

You will need to have:

Bachelor’s degree

5-7 years experience in the healthcare and/or pharmaceutical/biotech industry

3+ years experience working with buy and bill and/or specialty pharmacy networks

3+ years of field reimbursement experience

Understanding of access process from medical and pharmacy benefit design, Rx to infusion/injection

Experience with products that require prior authorization and clear understanding of related billing, coding and in-office support

Demonstrate adaptability to changing direction as conditions shift, learning mindset, taking ownership and driving actions

Excellent verbal, written, interpersonal communication and presentation skills

Ability to effectively communicate with people at all levels, inside and outside of the company

Ability to educate physicians and other healthcare professionals with confidence and expertise in an office procedural environment

Demonstrated strong cross-functional collaboration skills, business planning, rapport building and active listening skills

Problem solver with a sense of urgency

Experience working through complex reimbursement issues

Experience working with billing and medical claim personnel in healthcare setting

Experience working with integrated health systems

Demonstrated technical aptitude and working proficiency in using iPad and Laptop and working proficiency in Microsoft Word, Excel, PowerPoint, and Outlook; willingness to travel with equipment to coordinate daily with key partners on education and case work.

The duties of this role are generally conducted in a field environment.  As is typical of a field-based role, employees must be able, with or without an accommodation to: travel by public transportation, automobile, train, or plane; work comfortably in a clinical setting; use a computer; engage in communications via phone, video, and electronic messaging; problem solve; engage in complex and non-linear thought, analysis, and dialogue; collaborate with others; maintain general availability during standard business hours; operational reporting while traveling

Travel and Role Related Areas

Ability to travel to work related meetings and functions and ability to travel overnight for up to 4 nights per week

Ability to travel 60-75%

Ability to drive to assigned targets within the territory with Company provided Fleet Electric Vehicle

A valid driver's license and clean driving record

Ability to travel regionally and cover large multi-state territories

Must reside in the assigned territory; relocation assistance is not provided

We would prefer for you to have:

Rare disease experience

Understanding of the top regional and national payers within the assigned geography

Experience in launching a new specialty pharmaceutical/biologic product or new product indication

Neurology, Hematology and/or Nephrology experience

Experience working through complex reimbursement issues

Experience working with billing and medical claim personnel in healthcare setting

PACS (Prior Authorization Certification Specialist)

Familiarity with applying AI tools and techniques to enhance efficiency

Travel and Role Related Areas

Reside within Indiana

Date Posted

07-Aug-2026

Closing Date

06-Aug-2026 Our mission is to build an inclusive environment where equal employment opportunities are available to all applicants and employees. In furtherance of that mission, we welcome and consider applications from all qualified candidates, regardless of their protected characteristics. If you have a disability or special need that requires accommodation, please complete the corresponding section in the application form.

Job details

Seniority
Manager
Function
Market Access
Therapeutic area
Neuroscience
Location
Wilmington, Delaware, United States of America
Employment type
Full time

How this role compares

Computed from every other active Market Access role in our database, not just this employer's listings.

We currently track 83 comparable Manager Market Access roles across 20 biopharma companies.

83Comparable roles tracked
62Currently active
20Companies hiring similar roles
18Countries represented

Salary context

23 of 83 peers report a salary range (USD, annualized)

Peers share this role's job function and a matching or adjacent seniority level -- not necessarily the same therapeutic area or country.

This roleSubject Not listed on this posting
Lowest disclosed · Manager, Managed Care Operations · Sanofi-Aventis US LLC $122,250/yr – $176,583/yr
Peer group range $149,417 – $229,000 (median $187,600)

Where these roles are based

Top locations among the 83 comparable roles

United States37
Japan8
China8
India7
United Kingdom5
Russia4

+ 12 more countries

Seniority mix

83 of 83 peers have a known seniority level

Manager61
Associate Director22

Therapeutic area mix

25 of 83 peers have a known therapeutic area; the rest are genuinely unlabeled, not hidden

Neuroscience15
Oncology4
Immunology3
Ophthalmology1
Vaccines & Infectious Disease1
Respiratory1

Similar opportunities

The closest matches from our peer group, ranked by how similar they are, not how well you'd qualify for them -- treat this as market context, not a guaranteed shortlist; a weak match is labeled as one below.

100%similar
Regeneron Healthcare Solutions, Inc (USA) Richmond, United States Manager
Same function Same therapeutic area Same seniority Same country
100%similar
Regeneron Healthcare Solutions, Inc (USA) San Francisco, United States Manager
Same function Same therapeutic area Same seniority Same country
100%similar
Regeneron Healthcare Solutions, Inc (USA) Atlanta, United States Manager
Same function Same therapeutic area Same seniority Same country
100%similar
Regeneron Healthcare Solutions, Inc (USA) Chicago, United States Manager
Same function Same therapeutic area Same seniority Same country
100%similar
Regeneron Healthcare Solutions, Inc (USA) Houston, United States Manager
Same function Same therapeutic area Same seniority Same country
100%similar
Regeneron Healthcare Solutions, Inc (USA) Boston, United States Manager
Same function Same therapeutic area Same seniority Same country

How we calculate "similar"

No black box, no LLM guesswork: a deterministic score built from four normalized attributes. Here's this role's own peer group at different match levels, so you can see the mechanism, not just the result.

Every comparison starts from the same 100-point budget: 25 for working in the same function, 40 for the same therapeutic area, 20 for the same or adjacent seniority, 15 for the same country. A dimension we can't confirm on both sides contributes nothing, never a guess, never a free pass.

100%
Field Reimbursement Manager - Neurology (Mid South)
Regeneron Healthcare Solutions, Inc (USA) · Richmond, United States · Manager
Function Therapeutic area Seniority Country
100%
Field Reimbursement Manager - Neurology (Chicago, IL)
Regeneron Healthcare Solutions, Inc (USA) · Chicago, United States · Manager
Function Therapeutic area Seniority Country
100%
Field Reimbursement Manager - Neurology (Los Angeles, CA)
Regeneron Healthcare Solutions, Inc (USA) · Los Angeles, United States · Manager
Function Therapeutic area Seniority Country
100%
US Field Reimbursement Manager, Rare Neurology, Hematology, & Nephrology (Northern California)
AstraZeneca · Wilmington, Delaware, United States of America · Manager
Function Therapeutic area Seniority Country
Unmatched or unknown dimensions score exactly the same: 0 points, never a partial guess. A role we know almost nothing about beyond its function bottoms out at 25%; it never inflates to 100% just because there's little to compare against. Seniority uses a defined ladder (Associate → Manager → Associate Director → Senior → Principal → Director → Senior Director → Executive/VP) so "Director" and "Senior Director" count as adjacent, but "Director" and "Executive/VP" do not.