Field Reimbursement Manager, Oncology

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

📋 Description

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

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

• Offer information on resources that address access issues.

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

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

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

• Build and maintain relationships with relevant providers within the assigned territory.

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

• Conduct field-based work within a reasonable distance from the primary city.

• Travel approximately 50% of the time.

⛳️ Requirements

• Strong preference for candidates with oncology and/or hematology-oncology experience.

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

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

• Ability to effectively communicate technical coding and billing requirements at both national and regional levels across all care settings.

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

• Must meet applicable health care industry representative credentialing requirements.

• Must be in good standing and/or eligible to obtain required credentials.

• Excellent skills in territory and account management.

• Bachelor's degree required.

• 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 and access issues related to specialty medicines is preferred.

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

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

🏝️ Benefits

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

• Medical, dental, and vision insurance coverage.

• 401(k) plan.

• Eligibility for a long-term incentive program.

• Support for reasonable accommodations for applicants.

• Option for remote work.

• Commitment to equal opportunity employment.