Field Reimbursement Manager, Oncology

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

📋 Description

• Educate healthcare providers about patient support programs, as well as tools and services related to access and reimbursement support.

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

• Advise providers on available resources to tackle access challenges.

• Provide localized expertise regarding national and regional payer policies, payer-related issues, coding alterations, and claims submission processes.

• Collaborate with internal Oncology stakeholders 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 role within a reasonable distance from the primary city.

⛳️ Requirements

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

• Background in physician-administered therapies, buy-and-bill products, medical benefit reimbursement, specialty distribution/pharmacy, or complex access models is strongly preferred.

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

• Strong understanding and capability to communicate 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 fulfill all relevant healthcare industry representative (HCIR) credentialing requirements.

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

• Must comply with applicable background checks, drug screenings, proof of immunizations/vaccinations, fingerprinting, and any specific state or city license requirements where applicable.

• Excellent skills in territory and account management.

• Bachelor’s degree required.

• Valid driver’s license is necessary.

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

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

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

• Willingness to travel 75% of the time is required.

🏝️ Benefits

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

• Medical, dental, and vision insurance coverage.

• 401(k) retirement plan.

• Eligibility to participate in long-term incentive programs.

• Reasonable accommodations available for applicants from the US & Puerto Rico.