Field Reimbursement Manager, Oncology

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

📋 Description

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

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

• Offer guidance on resources available to resolve access issues.

• Deliver local insights on national and regional payer policies, payer challenges, coding modifications, and proper claims submission processes.

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

• Relay payer trends related to approved products to the Patient Services and MHC account management teams.

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

• Stay informed about managed care, reimbursement, and policy developments.

• Operate in a field-based territory, with travel expected to be approximately 50% of the time.

⛳️ Requirements

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

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

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

• Capability to communicate 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 along with associated reimbursement dynamics.

• Must meet all applicable health care industry representative (HCIR) credentialing requirements.

• Must be in good standing and/or eligible to acquire necessary HCIR 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 about payer processes, coverage requirements, and access-related issues for specialty medicines is preferred.

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

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

🏝️ Benefits

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

• Medical, dental, and vision insurance provided.

• 401(k) program available.

• Eligibility to participate in long-term incentive programs.

• Travel reimbursement and field-based travel support as implied by role travel requirements.