Manager, Reimbursement - Radiopharmacies

Manager, Reimbursement – Radiopharmacies
About Jubilant RadiopharmaciesAt Jubilant Radiopharmacies, we help healthcare teams care for patients through reliable access to advanced imaging and radiopharmaceutical solutions. We partner with hospitals, clinics, and health systems to support accurate diagnoses and better outcomes. Our team is collaborative, purpose-driven, and focused on making a real difference every day.
Role OverviewThe Manager, Reimbursement – Radiopharmacies plays a key role in helping customers and internal teams navigate the complex reimbursement landscape for radiopharmaceuticals. In this role, you will support market access by providing expertise in coding, coverage, and payment across Medicare, Medicaid, and commercial payers. You’ll work closely with sales and healthcare providers to remove barriers, improve understanding, and support adoption of our solutions.
Key Responsibilities
Serve as a subject matter expert on reimbursement for radiopharmaceuticals, including PET imaging and theranostics
Partner with commercial sales teams to support customer access, utilization, and reimbursement issue resolution
Provide field-based reimbursement support to hospitals, imaging centers, and physician practices
Educate providers and staff on coding (HCPCS, CPT, ICD-10), billing practices, and coverage requirements
Deliver training through webinars and customer engagements
Interpret and communicate CMS guidance, including OPPS and MPFS reimbursement frameworks
Analyze payer policies, prior authorization trends, and reimbursement changes
Support denials, appeals, and claims escalation activities
Collaborate with cross-functional teams, including Sales, Market Access, Compliance, and Finance
Analyze reimbursement trends and provide insights to support business decisions
Ensure compliance with healthcare regulations and documentation standards
Qualifications
Bachelor’s degree in Healthcare Administration, Business, Life Sciences, or a related field
CPC, CCS, CRCR, CHFP, or CCA certification preferred
5+ years of reimbursement, market access, or revenue cycle experience
Strong knowledge of Medicare and commercial payer systems
Working knowledge of coding and billing (HCPCS, CPT, ICD-10)
Experience providing field-based customer support
Experience in nuclear medicine, PET imaging, or radiopharmaceuticals preferred
Working knowledge of hospital outpatient and physician office reimbursement preferred
Experience with organizations such as Cardinal Health, Lantheus, or GE Healthcare preferred
Strong skills in reimbursement strategy, coverage and policy analysis, and revenue cycle management
Ability to translate complex reimbursement concepts into clear, actionable guidance
Strong communication, collaboration, and problem-solving skills
High attention to compliance, accuracy, and ethical standards
#J-18808-Ljbffr