Field Reimbursement Manager, Oncology

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

📋 Description

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

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

• Offer insights on available resources to tackle access-related challenges.

• Deliver local expertise on national and regional payer policies, issues, coding changes, and appropriate claims submission processes.

• 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.

⛳️ 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.

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

• Capability 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 their associated reimbursement dynamics.

• Must meet applicable health care industry representative (HCIR) credentialing requirements and maintain good standing or be eligible to obtain 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 about payer processes, coverage requirements, and access-related scenarios for specialty medicines is preferred.

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

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

🏝️ Benefits

• Paid time off, including vacation, holidays, and sick leave.

• Medical, dental, and vision insurance.

• 401(k).

• Eligibility to participate in long-term incentive programs.