Field Reimbursement Manager, Oncology

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

📋 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, including specialty pharmacy networks, specialty distribution, and white-bagging support.

• Offer guidance on resources available to resolve access-related issues.

• Deliver local expertise concerning national and regional payer policies, payer-related matters, coding updates, and claims submission processes.

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

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

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

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

⛳️ Requirements

• Strong preference for experience in oncology and/or hematology-oncology.

• Preferred background in physician-administered therapies, buy-and-bill products, medical benefit reimbursement, specialty distribution/pharmacy, or complex 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 communicate technical coding and billing requirements effectively across national and regional levels in all care settings.

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

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

• Exceptional territory and account management skills.

• Bachelor's degree required.

• Valid driver's license necessary.

• Preferred 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 situations for specialty medicines is preferred.

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

• Willingness to travel 75% of the time.

🏝️ Benefits

• Paid time off (vacation, holidays, sick).

• Medical, dental, and vision insurance.

• 401(k) plan.

• Eligibility for long-term incentive programs.

• Support for reasonable accommodations.

• Commitment to equal opportunity employment.