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, as well as access and reimbursement support tools and services.

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

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

• Offer local expertise concerning national and regional payer policies, payer challenges, coding modifications, and suitable claims submission processes.

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

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

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

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

• Operate in a field-based role within a reasonable distance from the primary city.

⛳️ Requirements

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

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

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

• Solid understanding of and ability to communicate technical coding and billing requirements at both 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 relevant health care industry representative (HCIR) credentialing requirements and maintain good standing or be eligible for credentials.

• May be required to undergo background checks, drug screenings, immunization/vaccination verification, fingerprinting, and obtain state- or city-specific licenses.

• Outstanding territory and account management capabilities.

• A bachelor's degree is required.

• A valid driver's license is necessary.

• Preferably 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 issues for specialty medicines is preferred.

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

🏝️ Benefits

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

• Medical, dental, and vision insurance coverage.

• 401(k) retirement plan.

• Long-term incentive programs offered.

• Potential for bonuses, commissions, incentives, and other compensation benefits at the Company's discretion.

• Opportunities for travel (approximately 50% of the time).