Field Reimbursement Manager, Oncology

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

📋 Description

• Inform healthcare professionals about patient support programs and tools for access and reimbursement assistance.

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

• Provide information on available resources to tackle access challenges.

• Offer local expertise on national and regional payer policies, coding modifications, claims submission processes, and payer issues.

• Work collaboratively with internal Oncology stakeholders on managing key accounts.

• Report on payer trends for approved products to the 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.

• Travel is required approximately 50% of the time.

⛳️ Requirements

• Preferred experience in oncology and/or hematology-oncology.

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

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

• Strong grasp of technical coding and billing requirements, with the ability to communicate them effectively at both national and regional levels across various care settings.

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

• Must meet all relevant healthcare industry representative credentialing standards.

• Must be in good standing and/or eligible to acquire the necessary credentials.

• Excellent skills in territory and account management.

• Bachelor’s degree required.

• A valid driver’s license is necessary.

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

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

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

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

🏝️ Benefits

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

• Comprehensive medical, dental, and vision insurance.

• 401(k) retirement plan.

• Eligibility to join long-term incentive programs.

• Potential for bonuses, commissions, incentives, and other compensation and benefits at the Company's discretion.