Field Reimbursement Manager, Oncology

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

📋 Description

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

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

• Advise providers on resources designed to resolve access challenges.

• Offer local expertise concerning national and regional payer policies, payer-related issues, coding updates, and proper claims submission procedures.

• Collaborate with internal Oncology stakeholders on essential account management tasks.

• Communicate payer trends for approved products to 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.

• Travel within the territory approximately 75% of the time.

⛳️ 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 complex access models.

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

• Strong grasp and ability to articulate the technical aspects of coding and billing requirements at both the National and Regional levels across all care settings.

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

• Must meet all applicable health care industry representative (HCIR) credentialing criteria.

• Must be in good standing and/or eligible to acquire the necessary HCIR credentials.

• Exceptional skills in territory and account management.

• Bachelor’s degree is required.

• A valid driver's license is necessary.

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

• Extensive experience in educating others on payer processes, coverage requirements, and access-related situations concerning specialty medicines is preferred.

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

• Must reside within a reasonable distance from the primary city; candidate cities include Orlando, FL and Miami, FL.

🏝️ Benefits

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

• Medical, dental, and vision insurance coverage.

• 401(k) retirement plan.

• Eligibility for long-term incentive programs.

• Travel requirement is approximately 75% of the time.