Reimbursement Consultant Job at Robert Half (Dallas)

Head of Commercial Development

MedicQuant is a fast‑growing diagnostics startup developing a breakthrough platf...

Location

Denmark , Aarhus

Salary:

Not provided

Life Science Talent

Expiration Date

Until further notice

Requirements

5+ years of experience in diagnostics, medtech, or life science commercialization
Experience in market strategy, commercial development, or similar roles
Experience with reimbursement, market access, or health economics (directly or via consultants) is an advantage
Experience or networks in UK, Germany, or US markets is a plus
Comfortable operating in a hands‑on, execution‑focused environment typical of early‑stage companies
Strong analytical skills and the ability to translate insights into commercial strategy
Excellent communication and stakeholder management abilities
Bachelor’s degree required
advanced degree in business, life sciences, or related fields is a plus

Job Responsibility

Identify and assess new market opportunities through research and engagement with Key Opinion Leaders (evaluating unmet needs, market size, and competitive dynamics) to guide portfolio strategy
Build and maintain strong relationships with clinical Key Opinion Leaders
Identify corporate partners who can benefit from integrating the MedicQuant platform and develop compelling value propositions
Establish commercial partnerships with pharma companies where the technology can support clinical studies or complement their products
Drive reimbursement strategy across key geographies
Select and manage consultants for reimbursement, coding, and payer engagement
Support mapping of reimbursement pathways and creation of payer materials
Negotiate pricing levels with customers
Lead health economic and value demonstration work in collaboration with consultants to support value‑based pricing and reimbursement
Develop value dossiers, cost‑effectiveness models, and economic evidence that strengthens the value proposition together with consultants

What we offer

The opportunity to shape the commercial foundation of a breakthrough diagnostic platform from an early stage
A role with significant strategic influence, working closely with the leadership team to define market, pricing, and go‑to‑market directions
A dynamic, collaborative environment where your ideas directly impact product development, evidence strategy, and future launch success
Cross‑disciplinary exposure spanning scientific, clinical, and commercial domains
Flexibility, autonomy, and ownership of meaningful work in a fast‑moving, mission‑driven setting
Aarhus-based office with possibility for a hybrid working model combining remote and on‑site work

Fulltime

Head of market access

Location

Japan , Tokyo

Salary:

12000000.00 - 22000000.00 JPY / Year

Randstad

Expiration Date

September 25, 2026

Requirements

13+ years of related experience
5-8 years of management experience
Experience in Health Insurance, HTA, or public health
Pharma/medical device market access knowledge
Can create & execute market access strategies
Design/deliver value communications for payers/HCPs
Strong track record in Japan market access
Experience with payer bodies for reimbursement
Experience building advocacy networks
Experience with policymakers & consultants

What we offer

A full and comprehensive benefits program
Growth opportunities on a global scale
Health insurance
Pension insurance
Employment insurance
Saturdays off
Sundays off
Holidays off

Fulltime

Director of Market Access, California Medical Groups and IPA's (Diagnostics)

We are seeking an experienced Director of Market Access, California Medical Grou...

Location

United States , California

Salary:

211201.00 - 237601.00 USD / Year

BillionToOne

Expiration Date

Until further notice

Requirements

Bachelor’s degree in Life Sciences, Healthcare Administration, Business, or a related field
advanced degree preferred
Minimum of 5 years’ experience in market access, reimbursement, or healthcare consulting—preferably in diagnostics, biotech, or medical devices
Deep knowledge of California’s healthcare delivery system, with specific experience working with medical groups and IPAs
Proven track record in payer negotiations and reimbursement strategy execution
Exceptional communication, interpersonal, and stakeholder engagement skills
Strong analytical skills with the ability to translate complex data into impactful strategies
Highly self-driven, well-organized, and capable of working independently in a fast-paced environment

Job Responsibility

Develop and nurture strategic relationships with decision-makers in medical groups, IPAs, and healthcare systems across California
Design and implement market access strategies to secure favorable coverage and reimbursement for our diagnostic solutions
Partner cross-functionally with Sales, Marketing, Clinical, and Reimbursement teams to align on access and commercialization priorities
Articulate the clinical utility and economic value of our diagnostics to healthcare providers and key stakeholders
Monitor and interpret legislative, regulatory, and payer policy developments affecting diagnostic access within the state
Lead payer engagement, including contract negotiations, coverage submissions, and the development of reimbursement dossiers
Provide actionable insights and data to inform pricing, contracting, and access decisions
Track competitor market access activities and adapt strategy in a dynamic and competitive environment

What we offer

Working alongside brilliant, kind, passionate and dedicated colleagues, in an empowering environment, toward a global vision, striving for a future in which transformative molecular diagnostics can help millions of patients
Open, transparent culture that includes weekly Town Hall meetings
The ability to indirectly or directly change the lives of hundreds of thousands patients
Multiple medical benefit options
employee premiums paid 100% of select plans, dependents covered up to 80%
Extremely generous Family Bonding Leave for new parents (16 weeks, paid at 100%)
Supplemental fertility benefits coverage
Retirement savings program including a 4% Company match
Increase paid time off with increased tenure
Latest and greatest hardware (laptop, lab equipment, facilities)

New

Market Access Specialist

Enable therapeutic innovation to become market realities for patients and health...

Location

Australia

Salary:

Not provided

Product Life Group

Expiration Date

Until further notice

Requirements

Degree in Economics, Pharmacy, or a Life Sciences discipline
Postgraduate qualifications in Biotechnology, Business, Health Economics, Epidemiology, Statistics, or Public Health (preferred)
Minimum of 5 years’ relevant commercial experience in Australia in market access, health outcomes, or health economics (consulting or industry)
Minimum of 3 years’ consulting experience
Strong understanding of the Australian and New Zealand healthcare and reimbursement systems, including HTA principles and policy context
Experience engaging with Australian reimbursement stakeholders such as PBAC, MSAC, HTA Section, and HPP
Demonstrated ability to design and execute market access strategies and respond to complex strategic challenges
Experience in both qualitative and quantitative research methodologies
Excellent analytical, numerical, written, and verbal communication skills
Ability to translate complex data and technical analysis into clear, accessible outputs for clients

Job Responsibility

Deliver high-quality market access, research, and market intelligence consulting services across the pharmaceutical, biotech, and medical device sectors
Lead and contribute to reimbursement submissions and strategic market access projects, including PBAC, MSAC, PL and PHARMAC
Conduct rigorous desk-based secondary research and interpret insights from primary research to support strategic recommendations
Support and lead projects across product feasibility, market identification, portfolio analysis, due diligence, competitive intelligence, stakeholder mapping, and pricing/reimbursement strategy
Provide strategic advice on reimbursement, pricing, and risk-sharing strategies, including identification of risks and mitigation pathways for HTA submissions
Act as a subject matter expert and lead project teams where required, ensuring projects are delivered to scope, timeline, quality, and budget
Engage directly with clients to deeply understand their needs and translate discussions into clear proposals and robust scopes of work
Mentor and support junior team members through training, guidance, and technical oversight
Strengthen long-term client relationships to support retention, repeat work, and expansion of the MPA service offering
Represent the company externally to build networks, credibility, and market presence

What we offer

Work alongside leading experts in market access, health economics, and evidence strategy
Contribute to meaningful projects that improve patient access to innovative therapies
Benefit from a collaborative culture focused on professional growth and knowledge sharing
Gain exposure to diverse clients across pharmaceuticals, biotechnology, and medical devices
Be part of a mission-driven organisation helping clients translate therapeutic innovation into real-world outcomes

New

Market Access Officer

Enable our customers to transform therapeutic innovation into market realities f...

Location

Australia

Salary:

Not provided

Product Life Group

Expiration Date

Until further notice

Requirements

Degree in Science, Economics, Pharmacy, or a related discipline
Minimum 2 years’ relevant experience in Australia in market access, health economics, or a related area (industry, consulting, or academia)
Understanding of the Australian and New Zealand healthcare and reimbursement systems, evidence-based medicine, and HTA principles
Strong Excel modelling capabilities, including cost‑effectiveness and health outcomes modelling
Demonstrated skills in medical writing, data analysis, modelling, and report development
Strong analytical, written, and verbal communication skills
Creative, solutions‑focused mindset with strong attention to detail
Excellent planning and organisational skills, including managing multiple deadlines
Strong project management capability
Ability to build and maintain strong client relationships

Job Responsibility

Contribute to high-quality market access, research, and market intelligence consulting services for clients across pharmaceuticals, biotechnology, and medical devices
Support the preparation of reimbursement submissions including PBAC, MSAC, PL and PHARMAC
Conduct desk and primary research to define value propositions for medicines, devices, or procedures
Perform disease-specific research including epidemiology and burden of illness assessments
Undertake robust clinical evaluation of interventions to support reimbursement claims
Assist in developing or adapting cost-effectiveness (CEA), cost-minimisation (CMA), and cost-utility (CUA) models
Build budget impact models (BIMs) and pricing models including risk‑sharing analyses
Assist clients through the entire listing process for their products
Identify risks and propose mitigation strategies for HTA submissions
Author reimbursement submissions, landscape reviews, and feasibility assessments, with a focus on clinical, economic, and financial sections

What we offer

Work alongside leading experts in market access, health economics, and evidence strategy
Contribute to meaningful projects that improve patient access to innovative therapies
Benefit from a collaborative culture focused on professional growth and knowledge sharing
Gain exposure to diverse clients across pharmaceuticals, biotechnology, and medical devices
Be part of a mission-driven organisation helping clients translate therapeutic innovation into real-world outcomes

Fulltime

Program Relations Manager

In support of Health Care Professional and their patients, the Program Relations...

Location

Canada , Remote

Salary:

67600.00 - 103950.00 CAD / Year

Cencora

Expiration Date

Until further notice

Requirements

A Bachelor’s degree in health care or a related discipline
Requires a minimum five (5) years, in the healthcare, pharmaceutical or industry or related experience
PSP and case management experience preferred
Asset to have Health Care professional registered within their province (e.g. RN, RPN, Pharmacist, …)
Minimum three (3) years in a clinical setting an asset
Available to travel within an assigned territory, some overnight travel may be required
Valid Driver’s License, current auto insurance policy and access to reliable transportation, for regional travel
Normally requires a minimum of five (5) years in public or private third-party reimbursement arena or pharmaceutical industry in sales, managed care, or clinical support
Knowledge of private and public reimbursement structure, systems, and process
Experience with reimbursement navigation, special authorization, appeals process and conducting field-based reimbursement support and consultation

Job Responsibility

Serves as the primary point of contact for HCP to support navigation of PSP requirements
Acts as a liaison between PSPs, healthcare providers to relay important updates, requirements, and any changes in the patient support process
Facilitates the flow of information between all parties involved to streamline the patient support journey
Develops strong working relationships with physicians and their office staff to ensure smooth maintenance of patients enrolled in the PSPs
Provides triage support of information on PSPs and facilitates the access to PSP services needed
Collects necessary patient information and clinical data
Coordinates private and public reimbursement activity directly with PSPs or with insurers if no PSPs exist
Assists patient with pharmacy services, when needed
Monitor’s patient journey and addresses barriers or delays
Provides proactive assistance to resolve issues and escalates accordingly

What we offer

medical
dental
vision care
comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness
support for working families
backup dependent care
adoption assistance
infertility coverage
family building support
behavioral health solutions

Parttime

Field Case Manager

Our team members are at the heart of everything we do. At Cencora, we are united...

Location

Canada , Windsor

Salary:

67000.00 - 102960.00 CAD / Year

Cencora

Expiration Date

Until further notice

Requirements

A Bachelor’s degree in health care or a related discipline
Requires a minimum five (5) years, in the healthcare, pharmaceutical or insurance industry or related experience
Case management experience preferred
Available to travel within an assigned territory, some overnight travel may be required
Valid Driver’s License, current auto insurance policy and access to reliable transportation, for regional travel
Experience and background in various therapeutic areas is an asset
Background in business administration (pharmaceutical) sales and marketing an asset
Knowledge of private and public reimbursement structure, systems, and process
Experience with reimbursement navigation, special authorization, appeals process and conducting field-based reimbursement support and consultation
Strong analytical skills including interpretation of regulation and legislation

Job Responsibility

Practice Management: Customize program elements to meet the needs of assigned prescribing physicians
Review patient status and assist the prescribing physician to complete patient enrolment, prepare payer forms to access public or private coverage by reviewing patient charts, documenting previous therapies and tests in order to complete the payer forms
Identify obstacles to obtaining coverage and channel this information to the Program Manager
Develop strong working relationships with physicians and physician office staff, providing additional office support to ensure smooth maintenance of patients enrolled in the program as needed
Proactively provide assistance to resolve issues with regards to assigned physicians
Provide training to physicians and clinics on program and new initiatives approved by the manufacturer
Acts as a liaison and provide ongoing feedback to the Program Manager based on observations in the field and feedback from physicians as it pertains to quality of services, training, and other areas of importance
Complete all relevant reports (program specific reports, expenses, etc.) as per specified timelines and as per required standards.
Patient Support (Based on program design some Field Case Managers may have limited or no patient interactions): Welcome each patient to the program and capture required patient information
Provide reimbursement payer guidelines to patients and physicians

What we offer

We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members’ ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more.

Fulltime

Field Case Manager

This is a 12-Month Contract role. Our team members are at the heart of everythin...

Location

Canada , Edmonton

Salary:

Not provided

Cencora

Expiration Date

Until further notice

Requirements

A Bachelor’s degree in health care or a related discipline
Requires a minimum five (5) years, in the healthcare, pharmaceutical or insurance industry or related experience
Case management experience preferred
Available to travel within an assigned territory, some overnight travel may be required
Valid Driver’s License, current auto insurance policy and access to reliable transportation, for regional travel
Experience and background in various therapeutic areas is an asset
Background in business administration (pharmaceutical) sales and marketing an asset
Knowledge of private and public reimbursement structure, systems, and process
Experience with reimbursement navigation, special authorization, appeals process and conducting field-based reimbursement support and consultation
Strong analytical skills including interpretation of regulation and legislation

Job Responsibility

Customize program elements to meet the needs of assigned prescribing physicians
Review patient status and assist the prescribing physician to complete patient enrolment, prepare payer forms to access public or private coverage by reviewing patient charts, documenting previous therapies and tests in order to complete the payer forms
Identify obstacles to obtaining coverage and channel this information to the Program Manager
Develop strong working relationships with physicians and physician office staff, providing additional office support to ensure smooth maintenance of patients enrolled in the program as needed
Proactively provide assistance to resolve issues with regards to assigned physicians
Provide training to physicians and clinics on program and new initiatives approved by the manufacturer
Acts as a liaison and provide ongoing feedback to the Program Manager based on observations in the field and feedback from physicians as it pertains to quality of services, training, and other areas of importance
Complete all relevant reports (program specific reports, expenses, etc.) as per specified timelines and as per required standards
Welcome each patient to the program and capture required patient information
Provide reimbursement payer guidelines to patients and physicians

What we offer

We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members’ ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more.

Fulltime

Reimbursement Consultant

Robert Half

Location:
United States , Dallas

Category:
Consulting

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
March 05, 2026

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