Field Reimbursement Manager, Oncology

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

📋 Description

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

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

• Deliver guidance on resources that address access issues for providers.

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

• Collaborate with internal Oncology stakeholders on key account management initiatives.

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

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

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

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

⛳️ Requirements

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

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

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

• Capability to articulate technical coding and billing requirements at both national and regional levels across various care settings.

• Familiarity with Medicare Parts A, B, C, and D and their associated reimbursement dynamics.

• Must meet applicable HCIR credentialing requirements and maintain good standing or be eligible to acquire necessary credentials.

• Exceptional skills in territory and account management.

• A bachelor's degree is required.

• A valid driver's license is mandatory.

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

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

• A strong leadership track record is preferred.

• Willingness and ability to travel 50% of the time.

🏝️ Benefits

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

• Medical, dental, and vision insurance options.

• 401(k) plan.

• Long-term incentive programs.

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