Field Reimbursement Manager, Oncology

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

📋 Description

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

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

• Offer insights on resources available to resolve access issues.

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

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

• Report 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 position within a reasonable distance of the primary city.

⛳️ Requirements

• Strongly preferred candidates will have experience in oncology and/or hematology-oncology.

• Preference will be given to those with experience in physician-administered therapies, buy-and-bill products, medical benefit reimbursement, specialty distribution/pharmacy, or complex access models.

• A solid understanding of coverage, coding, billing, reimbursement, benefit verification, prior authorization, appeals, claims submission, payer policy, affordability support, and operations of patient support programs is essential.

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

• Comprehensive knowledge of Medicare Parts A, B, C, and D along with associated reimbursement dynamics is required.

• Must meet the applicable HCIR credentialing requirements and be in good standing or eligible to obtain credentials.

• Exceptional skills in territory and account management are necessary.

• A bachelor's degree is mandatory.

• A valid driver's license is required.

• Preferred candidates will have 5 or more years of industry experience in access and reimbursement or account management.

• Extensive experience in educating others about payer processes, coverage requirements, and access-related situations for specialty medicines is favored.

• A strong record of leadership within the current role is preferred.

• Willingness to travel 50% of the time is necessary.

🏝️ Benefits

• Paid time off which includes vacation, holidays, and sick leave.

• Comprehensive medical, dental, and vision insurance.

• 401(k) retirement plan.

• Eligibility to participate in long-term incentive programs.