Field Reimbursement Manager, Oncology

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

📋 Description

• Educate healthcare professionals about patient support programs, access, and reimbursement assistance tools and services.

• Provide guidance on product-specific acquisition and access methods, which include specialty pharmacy networks, specialty distribution, and white-bagging assistance.

• Inform about available resources to tackle access challenges.

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

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

• Relay 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.

• Operate in a field-based territory that requires extensive travel.

⛳️ 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.

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

• Ability to effectively communicate technical coding and billing requirements at both National and Regional levels across all care settings.

• Knowledge of Medicare Parts A, B, C, and D, along with related reimbursement dynamics.

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

• Strong skills in territory and account management.

• Bachelor’s degree required.

• Valid driver's license is necessary.

• Preferred candidates will have five 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 medications is preferred.

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

• Must be able to reside within a reasonable distance from the primary city.

• Willingness to travel 75% of the time is required.

🏝️ Benefits

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

• Medical, dental, and vision insurance.

• 401(k) plan.

• Participation in long-term incentive programs.

• Potential for bonuses, commissions, incentives, and additional compensation benefits, subject to company discretion.