Field Reimbursement Manager, Oncology

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

📋 Description

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

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

• Educate providers on the resources available to tackle access challenges.

• Offer local expertise concerning national and regional payer policies, payer issues, coding modifications, and the correct processes for claims submission.

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

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

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

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

• Act as a field-based representative within the designated territory.

⛳️ Requirements

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

• Preference for candidates with experience in 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.

• Strong ability 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 relevant healthcare industry representative credentialing requirements and maintain good standing or be eligible to obtain credentials.

• Excellent skills in territory and account management.

• Bachelor's degree required.

• Valid driver's license is mandatory.

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

• Extensive experience in educating others about payer processes, coverage prerequisites, and access-related issues concerning specialty medicines is preferred.

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

• Willingness and capability to travel 50% of the time.

🏝️ Benefits

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

• Medical, dental, and vision insurance coverage.

• 401(k) retirement plan.

• Eligibility to participate in long-term incentive programs.

• Opportunity for bonuses, commissions, incentives, and other compensation programs, subject to company discretion.