Top 22 Reimbursement specialist Jobs in Southborough Ma

Care Coordinator, PSP HUB
Praxis Precision Medicines, Inc. —Boston, MA
- $86,000 - $106,000 a year
- Email
- Remote
- 5 years
- Mid-level
- Bachelor's degree
- AD&D insurance
- Employee stock purchase plan
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Senior Reimbursement Analyst
Beth Israel Lahey Health —Charlestown, MA
- $83,200 - $111,904 a year
- Full-time
- 3 years
- Finance
- Analysis skills
12d
Regional Clinical Reimbursement Specialist
CareOne —Millbury, MA
- $140,000 - $155,000 a year
- Nursing
- Skilled nursing facility
- RN License
- Commuter assistance
- Health savings account
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Senior Financial Analyst- Reimbursement
Beth Israel Lahey Health —Charlestown, MA
- $83,200 - $111,904 a year
- Full-time
- Senior level
Clinical Reimbursement Specialist
Northeast Division —Boston, MA
- $110,000 - $120,000 a year
- Full-time
- RN License
- Customer service
- Sanitation
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Sr Field Reimbursement Manager- West
Replimune —Woburn, MA
- $181,000 - $234,500 a year
- Full-time
- Travel
- Senior level
- Commercial
- Paid holidays
- Health insurance
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Sr Field Reimbursement Manager-East
Replimune —Woburn, MA
- $181,000 - $234,500 a year
- Full-time
- Travel
- Senior level
- Commercial
- Paid holidays
- Health insurance
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Manager, Practice Integration (Northeast)
BioTissue Holdings Inc —Cambridge, MA
- $125,000 - $130,000 a year
- Full-time
- Surgery
- Up to 50% travel
- 5 years
- Paid parental leave
- Health savings account
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Field Reimbursement Manager, Allergy ENT East, Charleston, WV
Sanofi —Cambridge, MA
- $122,250.00 - $176,583.33 a year
- Up to 50% travel
- 5 years
- Bachelor of Science
Director, Market Access and Reimbursement
Veranex, Inc. —Boston, MA
- $138,500 - $198,110 a year
- Full-time
- Remote
- 6 years
- Bachelor of Science
- Writing skills
- Adoption assistance
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Field Reimbursement Manager - Neurology (Northeast)
Regeneron —Boston, MA
- $165,600 - $209,600 a year
- 5 years
- Bachelor's degree
- Neurology
- Disability insurance
- Health insurance
Field Reimbursement Manager-New England
Harrow, Inc. —Boston, MA
- Call employer
- Remote
- Sales
- Data analysis skills
- Analysis skills
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9d
Senior Director, Field Reimbursement
Alexion Pharmaceuticals,Inc. —Boston, MA
- Up to 50% travel
- Bachelor's degree
- Travel
13d
Senior Director, Field Reimbursement
AstraZeneca —Boston, MA
- Up to 50% travel
- Bachelor's degree
- Travel
13d
Director of Clinical Affairs
Eight Sleep —Boston, MA
- $200,000 - $250,000 a year
- Full-time
- Hybrid work
- 5 years
- Bachelor's degree
- Doctor of Philosophy
- Dental insurance
- Vision insurance
6d
Field Access & Reimbursement Training Manager
サイネオス・ヘルス —Boston, MA
- $60 - $65 an hour
- Bachelor's degree
- Continuous improvement
- Travel
- Paid time off
- 401(k) matching
11d
Field Access & Reimbursement Training Manager
Syneos Health Commercial Solutions —Boston, MA
- Bachelor's degree
- Continuous improvement
- Travel
- Paid time off
- 401(k) matching
11d

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Documentation and Reimbursement Specialist
Nationwide Children's Hospital —Columbus, OH
Five years of experience in related field (physician billing experience), preferred. As required by listed licensure and/or certification requirement.
Reimbursement Variance Analyst
Orthopedic One —Westerville, OH
Revises Standard Fees to comply with federal & state billing regulations & guidelines. Candidates must have current certification as a Certified Professional…

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reimbursement specialist jobs near southborough ma

Care Coordinator, PSP HUB

Praxis Precision Medicines, Inc. -
Boston, MA

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Job Details

$86,000 - $106,000 a year

Benefits

AD&D insurance
Employee stock purchase plan
Paid holidays
Health insurance
Dental insurance
401(k)
Paid time off
401(k) 6% Match
Vision insurance
Life insurance

Qualifications

Appeals
Customer communication
Program design
Overseeing health insurance pre-certification
Bachelor's degree
Medical insurance appeals management

Full Job Description

Location: This position may be performed remotely but requires flexibility and a willingness to travel as needed.

Position Summary

As Care Coordinator, you are a single point of coordination for patients, caregivers & families, and healthcare providers when a Praxis therapy is prescribed, ensuring each has the clarity, support, and follow-through needed to initiate and maintain therapy. You are responsible for overseeing the management of patient cases and ensuring timely completion of related tasks throughout the full patient journey.

As the front line of the Praxis Patient Support Program, this role owns the experience from onboarding through adherence, individualizing support to meet each patient and caregiver's needs. With a focus on expediting time to therapy, the Care Coordinator proactively identifies and resolves access and adherence barriers through close monitoring of the patient journey. You are an experienced patient case management professional managing a complex caseload of patients with rare and refractory CNS conditions.

Primary Responsibilities

Operate with autonomy on day-to-day case decisions on caseload, with leadership review reserved for critical inflection points (denied appeals requiring escalation, adverse events, compliance issues, patient experience risk)
Able to independently manage difficult caregiver conversations, and non-routine access situations; share case learnings to strengthen team capability.
Own the end-to-end journey from enrollment through adherence, ensuring a seamless and high-touch experience for caregivers and providers
Serve as the primary point of contact for caregivers, patients, and healthcare providers delivering clear, timely, and empathetic communication
Communicate benefit investigation results and provide education on financial assistance programs
Coordinate benefits investigation, prior authorizations, and financial assistance in partnership with internal and external stakeholders
Build and maintain working relationships with senior internal and external partners (specialty pharmacy account leads, FRMs, Clinical Educators, provider office managers); adapt communication style to different stakeholder audiences.
Partner closely with dispensing specialty pharmacies to coordinate therapy initiation, shipment, and ongoing adherence support
Identify and resolve barriers to therapy access and adherence with urgency and persistence
Proactively monitor engagement and adherence signals, intervening early when risk emerges
Document all interactions accurately within Salesforce and other PSP systems, ensuring compliance and data integrity
Identify patterns across cases (recurring payer obstacles, specialty pharmacy bottlenecks, caregiver experience gaps) and advance recommendations to Patient Services leadership for SOP, training, or system enhancements
Reporting adverse drug events when communicated by patient/caregivers in accordance with pharmaceutical requirements

What you bring:

Bachelor's degree and minimum 5 years of case management experience within or supporting pharmaceutical patient support programs
Complete working knowledge of pharmacy benefit structures, prior authorization workflows, appeals processes, specialty pharmacy operations, and patient assistance program design.
Experience working with caregivers and families navigating treatment on behalf of patients
Hands-on experience collaborating with field-based teams (e.g., clinical educators, reimbursement managers) and specialty pharmacies
Proficiency with Salesforce and patient support program platforms (case management, benefits verification, adherence tracking tools)
Experience utilizing business rules for free goods programs and Patient Assistance Program (PAP) eligibility
Nurse, Medical Assistant, Social Worker or senior reimbursement specialist experience preferred
Experience supporting CNS therapies is strongly preferred

How you operate:

Ownership: You stay accountable across the full journey—you don't drop threads between stakeholders
Clarity: You translate complex processes into clear guidance and information that helps set expectations with caregivers
Urgency: You move quickly because delays impact therapy start and continuation
Follow-through: You close loops with field teams and pharmacies without being prompted
Empathy + Rigor: You support caregivers with empathy while staying focused on outcomes
Collaboration: You align multiple stakeholders without losing momentum
The physical and mental requirements of our roles include but are not limited to regular use of a computer, devices or other office equipment, clear communication, and occasional movement. You'll need comfort with screen work, basic hand coordination, and focus. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions.

Compensation & Benefits

At Praxis, we believe that taking care of our people (and their people) is important, so we provide a world class benefits package to help you thrive. This includes 99% of the premium paid for medical, dental and vision plans. We also provide company-paid life insurance, AD&D, disability benefits, and voluntary plans to personalize your coverage. Thinking about the future? We match dollar-for-dollar up to 6% on eligible 401(k) contributions and sweeten the deal with long-term stock incentives and ESPP. We provide a discretionary quarterly bonus, an extremely flexible wellness benefit, generous PTO, paid holidays and company-wide shutdowns. Not to mention, you'll also be joining a phenomenal crew of colleagues who are smart, engaged and inspiring. We aim high, collaborate hard, and produce results. Let's achieve the impossible together!

Company Overview

Praxis Precision Medicines is a clinical-stage biopharmaceutical company translating genetic insights into the development of therapies for central nervous system disorders characterized by neuronal imbalance. At Praxis we share a common vision of reshaping the human condition into a more freeing and fulfilled existence by developing high impact medicines for patients and families affected by and living with complex brain disorders. Our core Values of Trust, Ownership, Curiosity and Results are foundational to every aspect of our business and are exemplified by each and every one of our team members.

Diversity, Equity & Inclusion
Guided by our core values, at Praxis Precision Medicines, Inc. we continue to DARE FOR MORE® to advance, promote, and champion diversity, equity, and inclusion by encouraging individuals to bring their authentic selves and perspectives to work each day. We are an equal opportunity employer and committed to providing opportunities to all qualified applicants without regard to race, religious creed, color, gender identity or expression, age, national origin, sexual orientation, disability, genetics, military service and veteran status, or any other characteristic protected by federal, state, or local laws.

Attention: Job Scam Alert
Praxis has recently become aware of fraudulent job recruitment postings from individuals claiming to represent Praxis. These postings seek financial information in connection with fraudulent opportunities for employment. If you suspect any fraudulent activity or misrepresentation in connection with a Praxis job opportunity, please report it to [email protected].

Praxis does not accept unsolicited submissions from recruitment agencies for open positions. We ask all recruitment agencies to refrain from contacting any Praxis employee regarding any position. All unsolicited resumes submitted by recruitment agencies to any Praxis employee in any form or method will be deemed to be the property of Praxis, and Praxis explicitly reserves the right to hire those candidate(s) without any financial obligation to the recruitment agency.

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Refine Your Search

reimbursement specialist jobs in southborough ma

Care Coordinator, PSP HUB

Senior Reimbursement Analyst

Regional Clinical Reimbursement Specialist

Senior Financial Analyst- Reimbursement

Clinical Reimbursement Specialist

Sr Field Reimbursement Manager- West

Sr Field Reimbursement Manager-East

Manager, Practice Integration (Northeast)

Field Reimbursement Manager, Allergy ENT East, Charleston, WV

Director, Market Access and Reimbursement

Field Reimbursement Manager - Neurology (Northeast)

Field Reimbursement Manager-New England

Senior Director, Field Reimbursement

Senior Director, Field Reimbursement

Director of Clinical Affairs

Field Access & Reimbursement Training Manager

Field Access & Reimbursement Training Manager

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