Field Reimbursement Manager, Oncology

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

📋 Description

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

• Inform providers about product-specific acquisition and access alternatives, which include specialty pharmacy networks, specialty distribution, and white-bagging assistance.

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

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

• Collaborate with internal Oncology stakeholders on critical account management.

• 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 approximately 50% of the time within the assigned territory.

⛳️ Requirements

• Strongly preferred 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.

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

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

• In-depth understanding of Medicare Parts A, B, C, and D along with associated reimbursement dynamics.

• Must meet all applicable HCIR credentialing standards and be in good standing or eligible to acquire the necessary credentials.

• Exceptional territory and account management capabilities.

• Bachelor's degree required.

• Valid driver's license needed.

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

• Extensive experience in educating others about payer processes, coverage prerequisites, and access-related situations for specialty medications is preferred.

• Strong leadership track record in the current role is preferred.

🏝️ Benefits

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

• Comprehensive medical, dental, and vision insurance.

• 401(k) retirement plan.

• Eligibility to participate in long-term incentive programs.

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