Field Reimbursement Manager

Field Reimbursement Manager - Northeast Region

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.

Location: This is a remote position based in the Northeast and will require 30-50% travel. Ideal locations would be Philadelphia, New York, New Jersey, Boston, and Pittsburgh.

Key Responsibilities:

• 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 throughout the reimbursement lifecycle 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®.

• Identify and proactively address product procurement and reimbursement challenges at sites of care to minimize treatment delays, cancellations, or reductions.

• Partner closely with internal Vericel colleagues across Commercial, Market Access, Sales, and Operations to support customer needs and develop and execute access and reimbursement strategies.

• Collaborate with Vericel’s hub services, specialty pharmacy, and other contracted partners to support a 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.

• Analyze reimbursement and program data to identify trends, risks, and opportunities and communicate actionable insights to the Commercial organization.

• Serve as an internal and external subject matter expert on reimbursement policies, payer requirements, and access challenges.

Qualifications, Education, and Experience:

• 7+ years of progressive experience in healthcare reimbursement, market access, or a related field, including 3 - 5 years of experience as a Field Reimbursement Manager or in a similar field-based reimbursement role.

• Strong understanding of medical benefit reimbursement, CPT/HCPCS coding, and hospital billing processes.

• Experience working with hospital accounts and site-of-care stakeholders, particularly billing, revenue cycle, procurement, and administrative teams.

• Experience supporting reimbursement for complex biologics and surgical procedures.

• Strong understanding of how payer and reimbursement policies impact prescriber behavior, patient access, and sales force activity.

• Experience with reimbursement challenges including appeals, reconciliation, under-reimbursement, and/or single case agreements.

• Experience supporting products used in hospital or surgical settings.

• Proven ability to work cross-functionally within a matrix organization and with external partners.

• Strong communication, relationship-building, analytical, and problem-solving skills.

• Self-directed and proactive, with the ability to identify opportunities, solve problems, and operate effectively in an evolving environment.

• Data-driven mindset with experience translating insights into actionable strategies.

• Bachelor’s degree preferred.

Working Conditions and Physical Demand:

• Ability to manage multiple priorities in a fast-paced, field-based environment.

• Ability to travel 30-50% of the time.

Why Vericel? 

• Mission-Driven Work: Help bring potentially life-enhancing cell therapies to patients with serious medical conditions.

• Innovative Products: Work with a first-in-class therapy backed by clinical success and provider trust. 

• Career Growth: Be a part of a growing organization with opportunities to expand your impact.

• Collaborative Culture: Join a supportive, cross-functional team that values passion, integrity, and excellence. 

The salary range Vericel reasonably and in good faith expects to pay for this position at the time of this posting is $165,000 - $185,000 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.