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 and tools for access and reimbursement assistance.

• Inform on product-specific acquisition and access methods, including specialty pharmacy networks, specialty distribution, and white-bagging support.

• Share information on available resources to resolve access challenges.

• Offer local expertise on national and regional payer policies, payer challenges, coding updates, and claims submission procedures.

• Collaborate with internal Oncology stakeholders on essential account management.

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

• Develop and sustain relationships with relevant providers in the territory.

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

• Travel approximately 50% of the time.

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

⛳️ Requirements

• Experience in oncology and/or hematology-oncology is highly preferred.

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

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

• Solid understanding of and ability to convey technical coding and billing requirements at both national and regional levels across all care settings.

• Thorough knowledge of Medicare Parts A, B, C, and D and their associated reimbursement dynamics.

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

• Exceptional skills in territory and account management.

• Bachelor's degree is required.

• A valid driver's license is necessary.

• Preferably, 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 issues for specialty medicines is preferred.

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

🏝️ Benefits

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

• Medical, dental, and vision insurance for eligible employees.

• 401(k) plan for eligible employees.

• Opportunity to participate in long-term incentive programs.