Field Reimbursement Manager, Oncology

This is a fully remote position, open to applicants in Illinois, +1 more state.

📋 Description

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

• Inform on product-specific acquisition and access alternatives, which include specialty pharmacy networks, specialty distribution, and white-bagging support.

• Educate on resources available to resolve access challenges.

• Offer localized expertise on national and regional payer policies, including payer issues, coding modifications, and claims submission procedures.

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

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

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

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

• Function in a field-based capacity with approximately 50% travel required.

⛳️ Requirements

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

• Preferred experience with physician-administered therapies, buy-and-bill products, medical benefit reimbursement, specialty distribution/pharmacy, or complex access models.

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

• Ability to effectively communicate technical coding and billing requirements at both national and regional levels across all care settings.

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

• Must meet applicable healthcare industry representative credentialing requirements.

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

• Exceptional territory and account management capabilities.

• A bachelor's degree is required.

• A valid driver's license is necessary.

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

• Experience in educating others on payer processes, coverage requirements, and access-related issues for specialty medicines is preferred.

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

• Willingness to travel 50% of the time is required.

🏝️ Benefits

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

• Medical, dental, and vision insurance coverage.

• 401(k) plan.

• Eligibility to participate in long-term incentive programs.