Field Reimbursement Manager, Oncology

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

📋 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 options, which includes specialty pharmacy networks, specialty distribution, and white-bagging support.

• Offer insights into resources available to tackle access-related issues.

• Serve as a local expert on national and regional payer policies, payer challenges, coding changes, and claims submission procedures.

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

• 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 developments.

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

• Expect to travel approximately 50% of the time.

⛳️ Requirements

• Strongly preferred experience in oncology and/or hematology-oncology.

• Preferred background in 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 grasp 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 healthcare industry representative (HCIR) credentialing requirements.

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

• Exceptional territory and account management skills.

• A bachelor's degree is required.

• A valid driver's license is necessary.

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

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

• Strong history of leadership in current role is preferred.

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

🏝️ Benefits

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

• Medical, dental, and vision insurance coverage.

• 401(k) retirement plan.

• Eligibility for long-term incentive programs.

• Reasonable accommodations for applicants from the US and Puerto Rico.

• Availability of remote work options.