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, as well as access and reimbursement support services.

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

• Share information on resources available to tackle access-related issues.

• Offer local insight into national and regional payer policies, payer concerns, coding updates, and claims submission procedures.

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

• Report trends related to payers for approved products to 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.

⛳️ Requirements

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

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

• Demonstrated 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.

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

• Must meet applicable HCIR credentialing requirements and maintain good standing, or be eligible to obtain necessary credentials.

• Strong skills in territory and account management.

• Bachelor's degree required.

• Valid driver's license is necessary.

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

• Significant experience in educating others about payer processes, coverage requirements, and access situations for specialty medications is preferred.

• A proven leadership track record in the current role is favored.

🏝️ Benefits

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

• Medical, dental, and vision insurance coverage.

• 401(k) retirement plan.

• Eligibility to partake in long-term incentive programs.

• Travel-related work with an expected 75% travel requirement.