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.

• Offer insights on product-specific acquisition and access options, which encompass specialty pharmacy networks, specialty distribution, and white-bagging support.

• Inform about the resources available to tackle access challenges.

• Share local expertise on national and regional payer policies, payer issues, coding updates, and the appropriate claims submission procedures.

• Collaborate with various internal stakeholders in Oncology on essential account management.

• 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 activities.

• Operate in a field-based position within a reasonable proximity to the primary city.

⛳️ Requirements

• Preferably possess experience in oncology and/or hematology-oncology.

• Strongly preferred experience with 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.

• Solid understanding and 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 associated reimbursement dynamics.

• Must meet all relevant HCIR credentialing requirements and be in good standing or eligible to acquire these credentials.

• Exceptional skills in territory and account management.

• A bachelor's degree is required.

• A valid driver's license is necessary.

• Preferably have five 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 situations concerning specialty medicines is preferred.

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

• Must be willing to travel 75% of the time.

🏝️ Benefits

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

• Medical, dental, and vision insurance.

• 401(k) plan.

• Eligibility to participate in long-term incentive programs.