Field Reimbursement Manager, Oncology

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

📋 Description

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

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

• Educate on the resources available to resolve access issues.

• Offer local expertise regarding national and regional payer policies, challenges, coding changes, and proper claims submission processes.

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

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

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

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

• Travel is expected to be around 50% of the time.

• Function as a field-based representative within the assigned territory.

⛳️ Requirements

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

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

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

• Strong ability to articulate technical coding and billing requirements at both national and regional levels across all care settings.

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

• Must meet all relevant HCIR credentialing requirements and maintain good standing or be eligible to obtain them.

• HCIR requirements may entail background checks, drug screenings, proof of immunization/vaccination, fingerprinting, and specific state or city licenses.

• Exceptional skills in territory and account management.

• A bachelor’s degree is required.

• A valid driver's license is necessary.

• Preferred candidates will have 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 within the current position is preferred.

• Ability to reside within a reasonable distance from the primary city; candidates may be based in Green Bay, WI or Minneapolis, MN.

🏝️ Benefits

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

• Comprehensive medical, dental, and vision insurance.

• 401(k) plan.

• Opportunity to participate in long-term incentive programs.

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

• An equal opportunity employer supporting veterans and disabled applicants.

• Information on reasonable accommodations for applicants from the US and Puerto Rico.