Field Reimbursement Manager, Oncology

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

📋 Description

• Train healthcare professionals on patient support initiatives, as well as access and reimbursement assistance tools and services.

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

• Provide information about available resources to tackle access challenges.

• Offer local insights on national and regional payer policies, payer challenges, coding updates, and claims submission procedures.

• Work collaboratively with internal Oncology stakeholders on key account management.

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

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

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

• Travel is expected to be about 50% of the time.

⛳️ Requirements

• Experience in oncology and/or hematology-oncology is highly preferred.

• Familiarity with physician-administered therapies, buy-and-bill products, medical benefit reimbursements, specialty distribution/pharmacy, or complex access models is preferred.

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

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

• Understanding of Medicare Parts A, B, C, and D and the related reimbursement dynamics.

• Must meet applicable HCIR credentialing criteria and be in good standing or eligible to acquire the necessary credentials.

• Background checks, drug screenings, proof of immunization/vaccination, fingerprinting, and specific state or city licenses may be required.

• Excellent skills in territory and account management.

• A bachelor's degree is required.

• A valid driver's license is necessary.

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

• Experience in educating others on payer processes, coverage requirements, and access-related issues for specialty medications is preferred.

• A proven record of leadership in the current role is preferred.

🏝️ Benefits

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

• Medical, dental, and vision insurance coverage.

• 401(k) retirement plan.

• Long-term incentive programs.

• Reasonable accommodation support for applicants in the US and Puerto Rico.

• Commitment to equal opportunity employment.