Field Reimbursement Manager, Oncology

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

📋 Description

• Provide education to healthcare professionals regarding patient support programs, access, and reimbursement support tools and services.

• Inform about product-specific acquisition and access options, including specialty pharmacy networks, specialty distribution, and white-bagging support.

• Educate on resources available to resolve access issues.

• Offer local expertise on national and regional payer policies, payer challenges, coding modifications, and claims submission workflows.

• Collaborate with internal Oncology stakeholders on managing key accounts.

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

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

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

• Work in a field-based position with approximately 75% travel involved.

⛳️ Requirements

• Strong preference for candidates with 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.

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

• Capability to convey technical coding and billing requirements at both national and regional levels across diverse care settings.

• Familiarity with Medicare Parts A, B, C, and D, along with associated reimbursement dynamics.

• Must meet applicable healthcare industry representative credentialing requirements.

• Must be in good standing and/or eligible to obtain necessary credentials.

• Exceptional territory and account management abilities.

• Bachelor’s degree required.

• Valid driver’s license necessary.

• Preferably 5 or more years of industry experience in access and reimbursement or account management.

🏝️ Benefits

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

• Comprehensive medical, dental, and vision insurance.

• 401(k) retirement plan.

• Long-term incentive programs.

• Travel required as part of the role, approximately 75% of the time.