Field Reimbursement Manager, Oncology

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

📋 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 support.

• Guide providers on the resources available to resolve access challenges.

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

• Collaborate with various internal Oncology stakeholders for effective key account management.

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

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

• Stay informed about managed care, reimbursement, and policy developments.

• Conduct field-based work within the territory, involving approximately 50% travel.

⛳️ Requirements

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

• Preferred background in physician-administered therapies, buy-and-bill products, medical benefit reimbursement, specialty distribution/pharmacy, or intricate access models.

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

• Capability 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, along with the associated reimbursement dynamics.

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

• Exceptional skills in territory and account management.

• Bachelor's degree required.

• Must possess a valid driver's license.

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

• Preferred experience in educating others about payer processes, coverage criteria, and access-related issues for specialty medications.

• Preferred strong history of leadership in the current role.

• Ability to reside within a reasonable distance from the primary city.

🏝️ Benefits

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

• Medical, dental, and vision insurance coverage.

• 401(k) retirement plan.

• Eligibility for participation in long-term incentive programs.

• Field-based travel requirements (50% of the time).