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Senior Manager - Reimbursement Access

The Steely Group
San Francisco, CA Full Time
POSTED ON 1/14/2026
AVAILABLE BEFORE 3/13/2026
*MUST BE LOCATED IN PST TIME ZONE*The Senior Manager, Reimbursement Access will play a critical role in ensuring appropriate patient access to products by leading the Reimbursement Access team, shaping national access strategies, and supporting operational excellence across the function. The incumbent must have deep experience in reimbursement, patient access, and healthcare provider support services, and leadership experience that includes driving the execution of complex operations while developing a high performing team of Reimbursement Access Managers.Responsibilities:Team Leadership & Talent DevelopmentIdentify, recruit, onboard, and develop a high-performing team of Reimbursement Access Managers (RAMs) across key geographies.Provide coaching, mentorship, and performance management to drive effectiveness and professional growth.Lead field-based access teams to execute patient support strategies that improve access and affordability for patients.Reimbursement Strategy & ExecutionCollaborate with Patient Access leadership to design and implement innovative reimbursement access strategies that align with product and company goals.Analyze access barriers and develop field-based solutions to improve access to therapies for rare disease patients.Partner with internal teams (Commercial, Medical Affairs, Legal, Compliance) to ensure alignment and seamless execution of access initiatives.Operational ExcellenceAssist in developing standard operating procedures (SOPs), metrics, and reporting tools to evaluate and optimize the effectiveness of the Reimbursement Access function.Drive continuous improvement initiatives to ensure the highest standards of patient access and compliance.Monitor and assess reimbursement trends, payer coverage, and changes in access environment; provide recommendations to senior leadership.Stakeholder EngagementServe as a strategic liaison between internal stakeholders and field reimbursement teams to ensure market and patient needs are addressed.Provide insights from the field to inform leadership decisions on payer strategy, patient affordability programs, and other access-related initiatives.Represent the company at relevant industry meetings, conferences, and with key external stakeholders as needed.Qualifications:Bachelor’s degree in business, healthcare, or related field (advanced degree preferred).Minimum of 7 years of experience in market access, reimbursement, patient services, or related pharmaceutical roles.Prior leadership experience managing field reimbursement teams strongly preferred.In-depth understanding of the reimbursement landscape including buy-and-bill, specialty pharmacy, payer dynamics, copay assistance, and HUB services.Experience in rare diseases or specialty biologics/therapies.Demonstrated ability to lead cross-functional initiatives in a fast-paced, entrepreneurial environment.Willingness to travel (up to 30%) to support field teams and stakeholders.Competencies: Leadership, Presentation skills, Written and Verbal Communications, Analytical skills, Problem Solving, Teamwork & Collaboration, Customer Service focus, Adaptability, ProfessionalismPosition may require periodic evening and weekend work, as necessary to fulfill obligations. Periodic overnight travel.Ability to Travel up to 30%. Travel may include air and ground travel to HCP locations, and company meetingsCompany DescriptionThe Steely Group is a national preclinical, clinical, and commercial staffing firm and certified women’s business enterprise. We partner with small, growing biotech, pharma, and gene therapy companies to help bring treatments to patients by providing flexible talent acquisition solutions including Contingent Search (Direct Hire & Contract Consultants) and Retained Executive Search.

Salary : $135,000 - $207,500

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