Field Reimbursement Manager, Oncology

This is a fully remote position, open to applicants in Arizona.

📋 Description

• Provide education to healthcare providers regarding patient support programs, as well as access and reimbursement assistance tools and services.

• Inform providers about product-specific acquisition and access options, encompassing specialty pharmacy networks, specialty distribution, and white-bagging assistance.

• Guide providers on resources available to resolve access challenges.

• Offer local expertise concerning national and regional payer policies, payer issues, coding updates, and the correct processes for claims submission.

• Collaborate with internal Oncology stakeholders on key account management initiatives.

• Relay payer trends for approved products to the Patient Services and MHC account management teams.

• Build and sustain relationships with relevant providers within the designated territory.

• Stay updated on managed care, reimbursement, and policy developments.

• Operate in a field-based capacity within a reasonable distance from the primary city.

⛳️ Requirements

• Preferably possess experience in oncology and/or hematology-oncology.

• Background in physician-administered therapies, buy-and-bill products, medical benefit reimbursement, specialty distribution/pharmacy, or complex access models is preferred.

• Proven understanding of coverage, coding, billing, reimbursement, benefit verification, prior authorization, appeals, claims submission, payer policy, affordability support, and patient support program operations.

• Strong comprehension of and ability to convey technical coding and billing requirements at both national and regional levels across all care settings.

• In-depth knowledge of Medicare Parts A, B, C, and D and their associated reimbursement dynamics.

• Must meet all relevant healthcare industry representative credentialing requirements and maintain good standing or be eligible to obtain them.

• Excellent skills in territory and account management.

• Bachelor’s degree required.

• Possession of a valid driver’s license.

• A minimum of 5 years of industry experience in access and reimbursement or account management is preferred.

• Extensive experience in educating others about payer processes, coverage requirements, and access-related challenges for specialty medications is preferred.

• A strong history of leadership in the current role is preferred.

• Willingness to travel up to 75% of the time.

🏝️ Benefits

• Paid time off, including vacation, holidays, and sick leave.

• Medical, dental, and vision insurance.

• 401(k) plan.

• Eligibility to participate in long-term incentive programs.