Field Reimbursement Manager, Oncology

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

📋 Description

• Provide education to healthcare providers 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.

• Raise awareness of available resources to tackle access challenges.

• Offer local expertise on national and regional payer policies, payer issues, coding updates, and processes for appropriate claims submissions.

• Collaborate with internal Oncology stakeholders for effective key account management.

• Monitor and report payer trends for approved products to Patient Services and MHC account management teams.

• Build and nurture relationships with relevant providers in the territory.

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

• Operate as a field-based representative within the designated territory.

⛳️ Requirements

• Oncology and/or hematology-oncology experience is highly preferred.

• Familiarity 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 patient support program operations.

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

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

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

• Strong skills in territory and account management.

• Bachelor's degree is required.

• A valid driver's license is necessary.

• A minimum of 5 years of industry experience in access and reimbursement or account management is preferred.

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

• A proven track record of leadership within the current role is preferred.

• Must reside within a reasonable distance from the primary city.

• Willingness to travel 75% of the time is required.

🏝️ Benefits

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

• Medical, dental, and vision insurance coverage.

• 401(k) retirement plan.

• Eligibility to participate in long-term incentive programs.

• Access to resources for inquiries related to HCIR credentialing responsibilities.