Reimbursement Manager Jobs in California
Reimbursement Manager jobs in California represent one of the most active markets in the country, concentrated in healthcare systems, pharmaceutical companies, medical device manufacturers, and large physician groups that need specialists to manage insurance billing, claims appeals, and payer contract compliance at every level from reimbursement coordinator through senior director. The heaviest hiring is in Los Angeles, San Francisco, and San Diego, where systems like Kaiser Permanente, Dignity Health, and Sutter Health maintain large revenue cycle and managed care operations. The most in-demand specialties are Medicare and Medi-Cal reimbursement, hospital billing compliance, and third-party payer negotiation. Find a role that fits below and apply directly.
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Title: Field Reimbursement Manager, San Diego, CA - Market Access
The Field Reimbursement Manager is part of the Market Access group supporting Sun’s family of branded products in the United States. This primary goal of this role is to support appropriate patient access to care. This team focuses their efforts on supporting practices, accounts, and providers with necessary support materials and education to seek coverage to therapy for appropriate patients. Educational components include reimbursement (coverage, coding & payment), specialty pharmacy and distribution processes, provider support services (e.g., benefits investigation) and patient support resources (e.g., copay assistance programs, patient assistance programs) The person in this role will monitor national and local healthcare payer policies, develop relationships with key advocacy leaders, state societies, and provide direct support to prescribing physicians, hospitals and support staff regarding reimbursement and product access and reimbursement dynamic within payer channels.
The Field Reimbursement Manager will execute local market plans to support field based priorities. This will include understanding and educating on local health policy, reimbursement, billing / coding, and patient access issues. Field Reimbursement Managers will collaborate with his / her field partners to alleviate reimbursement and access issues impacting physician offices and the ability of patients to access Sun portfolio of products. The Field Reimbursement Manager will interact with access services hub, managed markets team supporting patient access and local field sales teams. The person in this role with have expertise in access and reimbursement issues encompassing coverage, prior authorizations, appeals, exceptions, denials, coding and payer payment guidelines , payer policies, sites of care, understanding of coding guidelines (CPT/J-Code/ICD-10), statutory or commercial pricing structures or mandates, and quality programs related to value based care and clinical care pathways.
Responsibilities include:
- Incorporate knowledge of dynamic and complex marketplace and business trends to deliver maximum access to the portfolio of Sun products.
- Has a deep understanding of medical vs pharmacy benefit and policy
- Understands the dynamics of Specialty pharmacy and specialty distribution
- Demonstrates a broad and wide understanding of the physician buy and bill model vs assignment of benefits to alternate sites of care
- Understands and is able to establish alternate sites of care to support patient options.
- Possess expertise in Medicare policies and the variations within all parts of Medicare
- Ensure processes are in place to drive clear communication with sales teams to ensure clarity of reimbursement and access issues and opportunities and support pull-through efforts.
- Listen and respond appropriately to customer needs and questions.
- Effectively and persuasively communicate with customers using effective selling, listening and negotiation skills, proper terminology and approved messaging.
- Maintain thorough knowledge of Sun products.
- Regularly and timely communicate with manager, as well as members of various support teams, as required.
- Create and maintain a positive impression with customers.
- Prepare reports for management as needed.
- Participate in teleconference and live National, regional and district meetings and training sessions and represent Sun at national and/or local conventions when requested.
- Ensure behaviors consistent with Healthcare Compliance guidelines.
Job Qualifications
A minimum of a Bachelor’s Degree is required.
5 or more years of healthcare industry experience required. A minimum of 3 years’ experience in the healthcare industry including a strong understanding of but not limited to, insurance verification and / or claim adjudication, physician office and outpatient billing, medical benefit procurement, understanding of adjudication within Commercial and Government payers, buy and bill model, Medicare, Tricare , Medicaid and National and Regional Commercial payers. Experience working in Dermatology and/or Oncology is a plus.
• Proven teamwork and collaboration skills with a demonstrated track record of working in highly matrixed and cross-functional work teams • Applies appropriate interpersonal styles and communications methods to influence and build effective relationships with business partners.
• Able to effectively manage competing priorities with strong sense of urgency. • Able to act as an articulate advocate for the market access team
- Provides consistent communications (both positive and negative information delivery) and is proactive and time in the conveyance of this information.
- Uses appropriate methods and interpersonal styles to develop, motivate, and guide a team toward successful outcomes and attainment of business objectives.
- Strong written and verbal communication skills.
- Strong presentation skills.
- Highly developed analytical skills with demonstrated ability to conceptualize issues and synthesize data to provide strategic direction
- Experience in Sun Pharma’s therapeutic areas: Dermatology, Oncology, Biologics preferred
- Acts as a role model for others in line with Sun’s values
The presently-anticipated base compensation pay range for this position is $145,000 to $175,000. Actual base compensation may vary based on a number of factors, including but not limited to geographical location and experience. Employees are eligible to participate in Company employee benefit programs which include medical, dental and vision coverage; life insurance; disability insurance; 401(k) savings plan; flexible spending accounts; and the employee assistance program. Employees also receive various paid time off benefits, including vacation time and sick time.
The compensation and benefits described above are subject to the terms and conditions of any governing plans, policies, practices, agreements, or other materials or documents as in effect from time to time, including but not limited to terms and conditions regarding eligibility. If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company, or individual department/team performance, and market factors.
Disclaimer: The preceding job description has been designed to indicate the general nature and level of work performed by employee within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees as assigned to this job. Nothing herein shall preclude the employer from changing these duties from time to time and assigning comparable duties or other duties commensurate with the experience and background of incumbent(s).
We provide equal employment opportunities for all current employees and applicants for employment. This policy means that no one will be discriminated against because of race, religion, creed, color, national origin, nationality, citizenship, ancestry, sex, age, marital status, physical or mental disability, affectional or sexual orientation, military or veteran status, generic predisposing characteristics or any other basis prohibited by law.
Notice to Agency and Search Firm Representatives: Sun Pharmaceuticals Industries, Inc. (Sun) is not accepting unsolicited resumes from agencies and/or search firms for this job posting. Resumes submitted to any Sun employee by a third party agency and/or search firm without a valid written & signed search agreement, will become the sole property of Sun. No fee will be paid if a candidate is hired for this position as a result of an unsolicited agency or search firm referral.
Title: Field Reimbursement Manager, San Diego, CA - Market Access
The Field Reimbursement Manager is part of the Market Access group supporting Sun’s family of branded products in the United States. This primary goal of this role is to support appropriate patient access to care. This team focuses their efforts on supporting practices, accounts, and providers with necessary support materials and education to seek coverage to therapy for appropriate patients. Educational components include reimbursement (coverage, coding & payment), specialty pharmacy and distribution processes, provider support services (e.g., benefits investigation) and patient support resources (e.g., copay assistance programs, patient assistance programs) The person in this role will monitor national and local healthcare payer policies, develop relationships with key advocacy leaders, state societies, and provide direct support to prescribing physicians, hospitals and support staff regarding reimbursement and product access and reimbursement dynamic within payer channels.
The Field Reimbursement Manager will execute local market plans to support field based priorities. This will include understanding and educating on local health policy, reimbursement, billing / coding, and patient access issues. Field Reimbursement Managers will collaborate with his / her field partners to alleviate reimbursement and access issues impacting physician offices and the ability of patients to access Sun portfolio of products. The Field Reimbursement Manager will interact with access services hub, managed markets team supporting patient access and local field sales teams. The person in this role with have expertise in access and reimbursement issues encompassing coverage, prior authorizations, appeals, exceptions, denials, coding and payer payment guidelines , payer policies, sites of care, understanding of coding guidelines (CPT/J-Code/ICD-10), statutory or commercial pricing structures or mandates, and quality programs related to value based care and clinical care pathways.
Responsibilities include:
- Incorporate knowledge of dynamic and complex marketplace and business trends to deliver maximum access to the portfolio of Sun products.
- Has a deep understanding of medical vs pharmacy benefit and policy
- Understands the dynamics of Specialty pharmacy and specialty distribution
- Demonstrates a broad and wide understanding of the physician buy and bill model vs assignment of benefits to alternate sites of care
- Understands and is able to establish alternate sites of care to support patient options.
- Possess expertise in Medicare policies and the variations within all parts of Medicare
- Ensure processes are in place to drive clear communication with sales teams to ensure clarity of reimbursement and access issues and opportunities and support pull-through efforts.
- Listen and respond appropriately to customer needs and questions.
- Effectively and persuasively communicate with customers using effective selling, listening and negotiation skills, proper terminology and approved messaging.
- Maintain thorough knowledge of Sun products.
- Regularly and timely communicate with manager, as well as members of various support teams, as required.
- Create and maintain a positive impression with customers.
- Prepare reports for management as needed.
- Participate in teleconference and live National, regional and district meetings and training sessions and represent Sun at national and/or local conventions when requested.
- Ensure behaviors consistent with Healthcare Compliance guidelines.
Job Qualifications
A minimum of a Bachelor’s Degree is required.
5 or more years of healthcare industry experience required. A minimum of 3 years’ experience in the healthcare industry including a strong understanding of but not limited to, insurance verification and / or claim adjudication, physician office and outpatient billing, medical benefit procurement, understanding of adjudication within Commercial and Government payers, buy and bill model, Medicare, Tricare , Medicaid and National and Regional Commercial payers. Experience working in Dermatology and/or Oncology is a plus.
• Proven teamwork and collaboration skills with a demonstrated track record of working in highly matrixed and cross-functional work teams • Applies appropriate interpersonal styles and communications methods to influence and build effective relationships with business partners.
• Able to effectively manage competing priorities with strong sense of urgency. • Able to act as an articulate advocate for the market access team
- Provides consistent communications (both positive and negative information delivery) and is proactive and time in the conveyance of this information.
- Uses appropriate methods and interpersonal styles to develop, motivate, and guide a team toward successful outcomes and attainment of business objectives.
- Strong written and verbal communication skills.
- Strong presentation skills.
- Highly developed analytical skills with demonstrated ability to conceptualize issues and synthesize data to provide strategic direction
- Experience in Sun Pharma’s therapeutic areas: Dermatology, Oncology, Biologics preferred
- Acts as a role model for others in line with Sun’s values
The presently-anticipated base compensation pay range for this position is $145,000 to $175,000. Actual base compensation may vary based on a number of factors, including but not limited to geographical location and experience. Employees are eligible to participate in Company employee benefit programs which include medical, dental and vision coverage; life insurance; disability insurance; 401(k) savings plan; flexible spending accounts; and the employee assistance program. Employees also receive various paid time off benefits, including vacation time and sick time.
The compensation and benefits described above are subject to the terms and conditions of any governing plans, policies, practices, agreements, or other materials or documents as in effect from time to time, including but not limited to terms and conditions regarding eligibility. If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company, or individual department/team performance, and market factors.
Disclaimer: The preceding job description has been designed to indicate the general nature and level of work performed by employee within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees as assigned to this job. Nothing herein shall preclude the employer from changing these duties from time to time and assigning comparable duties or other duties commensurate with the experience and background of incumbent(s).
We provide equal employment opportunities for all current employees and applicants for employment. This policy means that no one will be discriminated against because of race, religion, creed, color, national origin, nationality, citizenship, ancestry, sex, age, marital status, physical or mental disability, affectional or sexual orientation, military or veteran status, generic predisposing characteristics or any other basis prohibited by law.
Notice to Agency and Search Firm Representatives: Sun Pharmaceuticals Industries, Inc. (Sun) is not accepting unsolicited resumes from agencies and/or search firms for this job posting. Resumes submitted to any Sun employee by a third party agency and/or search firm without a valid written & signed search agreement, will become the sole property of Sun. No fee will be paid if a candidate is hired for this position as a result of an unsolicited agency or search firm referral.
See All 16 Reimbursement Manager Jobs in California
Find roles in California that match your experience and apply in just a few clicks.
Find Reimbursement Manager JobsReimbursement Manager Jobs by City in California
Where California roles are concentrated, by current openings.
Reimbursement Manager Job Market in California
A snapshot from current California openings, updated as new roles post.
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
What California Employers Look For
The qualifications that appear most often in reimbursement manager jobs across California.
- Bachelor's degree in health administration, business, finance, or a directly related field
- Three or more years of experience in healthcare reimbursement, revenue cycle, or billing
- Demonstrated knowledge of Medicare, Medi-Cal, and commercial payer billing regulations
- Proficiency with practice management or hospital information systems such as Epic or Cerner
- Experience managing or leading a billing or reimbursement team
- Certified Professional Biller or Certified Revenue Cycle Professional credential preferred
Reimbursement Manager Jobs in California: Frequently Asked Questions
How do you become a reimbursement manager in California?
Most reimbursement managers in California move into the role after several years in healthcare billing, coding, or revenue cycle coordination, typically starting with a bachelor's degree in health administration, business, or a related field. California does not require a state-issued license for this role, but employers across the state consistently prefer or require credentials such as the Certified Professional Biller from the American Academy of Professional Coders or the Certified Revenue Cycle Professional from the Healthcare Financial Management Association.
How much do reimbursement managers make in California?
Reimbursement managers in California earn a median of about $180,770 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $101,820 for the lowest 10% to over $341,670 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire reimbursement managers in California?
Employers hiring reimbursement managers in California right now include Syneos Health Commercial Solutions, サイネオス・ヘルス, and Harrow, based on current listings on Migrate Mate as of October 2026. California's concentration of large integrated health systems, academic medical centers, and pharmaceutical headquarters keeps demand for this role consistently strong across both the public and private sectors.
Which California cities have the most reimbursement manager jobs?
California, Sacramento, and Ontario have the most reimbursement manager openings in California. Los Angeles anchors demand through its dense network of hospital systems, outpatient groups, and payer offices, while San Francisco and San Diego draw hiring from academic medical centers, biotech employers, and regional health plans that maintain dedicated reimbursement and revenue cycle teams.
Are there remote reimbursement manager jobs in California?
Yes, and more than most healthcare roles. About 67% of reimbursement manager openings tied to California are remote or hybrid as of October 2026, reflecting the largely desk-based and analytical nature of the work. The functions most likely to be fully remote are payer contract analysis, claims appeal management, and reimbursement policy compliance, while roles involving direct team supervision or on-site revenue cycle operations tend to require at least a hybrid schedule.
How can I get hired as a reimbursement manager in California with little or no experience?
The most realistic entry path is through a billing coordinator, insurance authorization specialist, or revenue cycle associate role at a California hospital system or large physician group, which are the positions Kaiser Permanente, Dignity Health, and Sutter Health use as a pipeline into management. Building toward a Certified Professional Biller credential while in an entry-level billing role signals readiness for supervisory responsibility. Candidates who demonstrate familiarity with Medi-Cal billing rules and California-specific payer requirements stand out early in the hiring process.
Where can I find and apply to reimbursement manager jobs in California?
You can find and apply to reimbursement manager jobs in California on Migrate Mate, which lists current California openings across hospital systems, physician groups, health plans, and pharmaceutical employers. Find the roles that fit your experience and apply directly to each one.
See All 16 Reimbursement Manager Jobs in California
Find roles in California that match your experience and apply in just a few clicks.
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