Reimbursement Analyst Jobs in USA with Visa Sponsorship
Reimbursement Analysts work in healthcare billing and insurance claims, making them strong candidates for H-1B visa sponsorship. Employers regularly file Labor Condition Applications for this role, and the specialty occupation standard is met through degrees in health information management, accounting, or business administration. For detailed occupation requirements, see the O*NET profile.
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Get Access To All JobsINTRODUCTION
Ardelyx is a commercial-stage biopharmaceutical company focused on redefining treatment approaches for patients with significant unmet medical needs. By combining scientific innovation with a collaborative, purpose-driven culture, we strive to create meaningful impact for patients.
Team Ardelyx is united by a shared mission and guided by our core values: Passionate, Fearless, Dedicated, and Inclusive.
We foster an inclusive environment where employees are respected, supported, and empowered to make an impact — both within our company and in the lives of patients we serve.
Position Summary:
The Field Reimbursement Manager (FRM) is responsible for supporting the patient access process for our gastroenterology business. The FRM will leverage his/her account management, data analytics, and reimbursement expertise and demonstrated experience to support and facilitate timely access to Ardelyx’s products! This role involves supporting products by executing the collaborative territory strategic plan, understanding the patient access process, and navigating patient support programs. The FRMs will collaborate with key team members such as Field Sales and other internal stakeholders to serve as access and reimbursement experts for assigned geographies. If you’d like to help establish Ardelyx as a leading company in the biopharma industry, one that advances patient care with novel therapies that meet important clinical needs, come join us!
Responsibilities:
- Establish and maintain collaborative working relationships with Patient Services Program Partners, Field Sales, and Healthcare Providers to support patient access
- Aid HCPs with supporting the patient journey by providing education on prior authorization, appeals, and/or denials
- Review patient-specific information in cases where the site has specifically requested assistance resolving any issues or coverage challenges when appropriate
- Partner with internal and external stakeholders to identify, anticipate and address patient and HCP access barriers; Implement updates/changes based on solutions generated to address barriers
- Utilize HUB and specialty pharmacy partners to ensure patient access barriers are removed
- Monitor patients start trends in assigned geographies/plans, and collaborate with Field Sales and Patient Services partners to proactively address and mitigate challenges
- Maintain knowledge of national, regional, local, and account market dynamics for payors and prescribers; maintain knowledge of HUB and specialty distribution channels to support patient needs
- Serve as subject matter expert regarding education and insights on access and affordability solutions across multiple payer types and plans (i.e., Medicare, Medicaid Managed Care, Commercial)
- Understands and adapts to the changing healthcare ecosystem to customize resourcing and messaging to HCPs and HCP staff
Qualifications
- B.A/B.S. degree with 6 - 9 years of experience in field reimbursement, patient services, market access, or related functions within the pharmaceutical/biotech industry or equivalent experience
- 3 - 5 years of experience as a field reimbursement manager within public or private field reimbursement or access services, healthcare operations, and/or equivalent experience
- Extensive knowledge of medication access channels preferred
- Strong functional knowledge of specialty pharmacy and health insurance and benefits (i.e. Medicare Part D, commercial and Medicaid) with a demonstrated expert understanding of insurance eligibility, benefit verification, prior authorization processes, reimbursement coverage, appealing insurance denials, application of financial assistance, co-pay support and free product programs
- Knowledge of HCP office processes regarding patient flow, prescription flow and clinic office operations. Direct experience with GI products or providers preferred
- Outstanding customer relationship, interpersonal, and communication skills with the established ability to effectively work with diverse audiences and influence cross-functionally
- Ability to evaluate data and identify trends, barriers, and translate into actionable steps
Work Environment:
- This position reports to an Associate Director/Director, Field Access and Reimbursement
- Travel will vary by territory and business need
- Up to 75% of time spent in the field required
COMPENSATION
- The anticipated annualized base pay range for this full-time position is $145,000-$210,000. Ardelyx utilizes industry data to ensure that our compensation is competitive and aligned with our industry peers. Actual base pay will be determined based on a variety of factors, including years of relevant experience, training, qualifications, and internal equity. The compensation package may also include an annual bonus target and equity awards, subject to eligibility and other requirements.
Ardelyx also offers a robust benefits package to employees, including a 401(k) plan with generous employer match, 12 weeks of paid parental leave, up to 12 weeks living organ and bone marrow leave, equity incentive plans, health plans (medical, prescription drug, dental, and vision), life insurance and disability, flexible time off, annual Winter Holiday shut down, and at least 11 paid holidays.
Ardelyx is an equal opportunity employer.
We do not accept unsolicited resumes from search firms, or recruiters or similar vendors. Any such unsolicited resume submitted to any employee or through Company's career site without a valid, signed search agreement signed by Company's authorized representative will be deemed the property of the company, and no fees will be paid in the event of a hire. Company will have the right to hire any such candidate at its discretion without any financial obligation or fee owed to the vendor. Any verbal or written communication with a Company employee outside of this process will not be considered a binding agreement.
INTRODUCTION
Ardelyx is a commercial-stage biopharmaceutical company focused on redefining treatment approaches for patients with significant unmet medical needs. By combining scientific innovation with a collaborative, purpose-driven culture, we strive to create meaningful impact for patients.
Team Ardelyx is united by a shared mission and guided by our core values: Passionate, Fearless, Dedicated, and Inclusive.
We foster an inclusive environment where employees are respected, supported, and empowered to make an impact — both within our company and in the lives of patients we serve.
Position Summary:
The Field Reimbursement Manager (FRM) is responsible for supporting the patient access process for our gastroenterology business. The FRM will leverage his/her account management, data analytics, and reimbursement expertise and demonstrated experience to support and facilitate timely access to Ardelyx’s products! This role involves supporting products by executing the collaborative territory strategic plan, understanding the patient access process, and navigating patient support programs. The FRMs will collaborate with key team members such as Field Sales and other internal stakeholders to serve as access and reimbursement experts for assigned geographies. If you’d like to help establish Ardelyx as a leading company in the biopharma industry, one that advances patient care with novel therapies that meet important clinical needs, come join us!
Responsibilities:
- Establish and maintain collaborative working relationships with Patient Services Program Partners, Field Sales, and Healthcare Providers to support patient access
- Aid HCPs with supporting the patient journey by providing education on prior authorization, appeals, and/or denials
- Review patient-specific information in cases where the site has specifically requested assistance resolving any issues or coverage challenges when appropriate
- Partner with internal and external stakeholders to identify, anticipate and address patient and HCP access barriers; Implement updates/changes based on solutions generated to address barriers
- Utilize HUB and specialty pharmacy partners to ensure patient access barriers are removed
- Monitor patients start trends in assigned geographies/plans, and collaborate with Field Sales and Patient Services partners to proactively address and mitigate challenges
- Maintain knowledge of national, regional, local, and account market dynamics for payors and prescribers; maintain knowledge of HUB and specialty distribution channels to support patient needs
- Serve as subject matter expert regarding education and insights on access and affordability solutions across multiple payer types and plans (i.e., Medicare, Medicaid Managed Care, Commercial)
- Understands and adapts to the changing healthcare ecosystem to customize resourcing and messaging to HCPs and HCP staff
Qualifications
- B.A/B.S. degree with 6 - 9 years of experience in field reimbursement, patient services, market access, or related functions within the pharmaceutical/biotech industry or equivalent experience
- 3 - 5 years of experience as a field reimbursement manager within public or private field reimbursement or access services, healthcare operations, and/or equivalent experience
- Extensive knowledge of medication access channels preferred
- Strong functional knowledge of specialty pharmacy and health insurance and benefits (i.e. Medicare Part D, commercial and Medicaid) with a demonstrated expert understanding of insurance eligibility, benefit verification, prior authorization processes, reimbursement coverage, appealing insurance denials, application of financial assistance, co-pay support and free product programs
- Knowledge of HCP office processes regarding patient flow, prescription flow and clinic office operations. Direct experience with GI products or providers preferred
- Outstanding customer relationship, interpersonal, and communication skills with the established ability to effectively work with diverse audiences and influence cross-functionally
- Ability to evaluate data and identify trends, barriers, and translate into actionable steps
Work Environment:
- This position reports to an Associate Director/Director, Field Access and Reimbursement
- Travel will vary by territory and business need
- Up to 75% of time spent in the field required
COMPENSATION
- The anticipated annualized base pay range for this full-time position is $145,000-$210,000. Ardelyx utilizes industry data to ensure that our compensation is competitive and aligned with our industry peers. Actual base pay will be determined based on a variety of factors, including years of relevant experience, training, qualifications, and internal equity. The compensation package may also include an annual bonus target and equity awards, subject to eligibility and other requirements.
Ardelyx also offers a robust benefits package to employees, including a 401(k) plan with generous employer match, 12 weeks of paid parental leave, up to 12 weeks living organ and bone marrow leave, equity incentive plans, health plans (medical, prescription drug, dental, and vision), life insurance and disability, flexible time off, annual Winter Holiday shut down, and at least 11 paid holidays.
Ardelyx is an equal opportunity employer.
We do not accept unsolicited resumes from search firms, or recruiters or similar vendors. Any such unsolicited resume submitted to any employee or through Company's career site without a valid, signed search agreement signed by Company's authorized representative will be deemed the property of the company, and no fees will be paid in the event of a hire. Company will have the right to hire any such candidate at its discretion without any financial obligation or fee owed to the vendor. Any verbal or written communication with a Company employee outside of this process will not be considered a binding agreement.
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Get Access To All JobsTips for Finding Visa Sponsorship as a Reimbursement Analyst
Target healthcare systems and insurance companies
Large hospital networks, managed care organizations, and health insurance companies file H-1B petitions for Reimbursement Analysts regularly. These employers have established immigration counsel and existing sponsorship infrastructure, making approvals more predictable than smaller billing firms.
Confirm your degree field matches the role
USCIS requires a specific degree-to-job connection for specialty occupation approval. Health information management, accounting, finance, or healthcare administration degrees align most cleanly. A general business degree may require additional documentation to establish the direct relationship.
Ask about sponsorship before the offer stage
Many healthcare employers sponsor but do not advertise it. Raise the question after a strong first interview, not in your initial application. Framing it as a straightforward process for experienced candidates reduces the chance the conversation ends the opportunity prematurely.
Understand the LCA filing requirement
Your employer must file a Labor Condition Application with the Department of Labor before submitting your H-1B petition. The LCA certifies prevailing wage compliance. Familiarity with this step helps you guide hesitant employers who assume sponsorship is more complicated than it is.
OPT and STEM extension coverage for this role
Reimbursement Analyst roles at healthcare organizations often qualify for STEM OPT extension if your degree is in health informatics or a qualifying data-adjacent field. Confirm your CIP code with your DSO early, as this directly affects your available time before needing H-1B approval.
E-3 and TN visas may apply depending on your nationality
Australian citizens can pursue E-3 visa sponsorship for this role without lottery risk. Canadian and Mexican nationals may qualify under TN status in the accountant or computer systems analyst category depending on specific duties. Both pathways bypass the H-1B cap entirely.
Frequently Asked Questions
Is a Reimbursement Analyst considered a specialty occupation for H-1B purposes?
Yes, Reimbursement Analyst roles generally qualify as specialty occupations when the position requires a bachelor's degree or higher in a specific field such as health information management, accounting, finance, or healthcare administration. USCIS scrutinizes cases where the employer's job posting says a degree is preferred rather than required, so the job description wording matters. Employers with a clear educational requirement in a related field have the strongest petitions.
Which visa types are most common for Reimbursement Analysts seeking sponsorship?
The H-1B visa is the most common path. Australian citizens have strong access to the E-3 visa, which has no lottery and processes at U.S. consulates in Australia within a few weeks. Canadian and Mexican nationals may qualify under TN visa status depending on how their duties are classified. All three options require employer sponsorship, so finding a willing employer is the first step. Browse sponsoring employers on Migrate Mate.
Do Reimbursement Analyst roles typically qualify for STEM OPT extension?
It depends on your degree's CIP code rather than your job title. Degrees in health informatics, health information management, or data-adjacent healthcare fields may qualify. A standard accounting or business administration degree typically does not meet the STEM OPT criteria. Check your degree's CIP code with your Designated School Official before assuming you have 24 additional months of work authorization, as this affects your H-1B timing strategy significantly.
How difficult is it to get H-1B sponsorship as a Reimbursement Analyst?
The specialty occupation bar is generally met for this role, so approval rates at the petition level are reasonable once you clear the lottery. The harder challenge is the lottery itself, which selects roughly 25% of registrations in a given year. Large healthcare employers and hospital systems are more likely to sponsor because they have existing immigration programs. Smaller medical billing companies may not have sponsored before and may be hesitant even when legally straightforward.
What should I include in my job application to improve my chances of sponsorship?
Highlight your degree field explicitly and connect it to the technical nature of the role, such as reimbursement coding, payer contract analysis, or claims adjudication. Employers who understand the specialty occupation connection are more confident sponsoring. If you have prior experience with ICD-10 coding, CPT coding, or payer-specific billing systems, include it. Targeting employers with a documented history of sponsorship is the most efficient approach, and Migrate Mate filters job listings specifically for sponsoring employers.
What is the prevailing wage requirement for sponsored Reimbursement Analyst jobs?
U.S. employers sponsoring a visa must pay at least the prevailing wage, which is what workers in the same role, area, and experience level typically earn. The Department of Labor sets this rate to make sure companies aren't hiring foreign workers simply because they'd accept lower pay than a U.S. worker. It varies by job title, location, and experience. You can look up current prevailing wage rates for any occupation and location using the OFLC Wage Search page.