Field Reimbursement Manager, Oncology

This is a fully remote position, open to applicants in North Carolina, +2 more states.

📋 Description

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

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

• Advise providers on resources that tackle access-related challenges.

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

• Collaborate with internal stakeholders in Oncology 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.

⛳️ Requirements

• Strong preference for 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.

• 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, along with the associated reimbursement dynamics.

• Must meet the necessary health care industry representative credentialing requirements and maintain good standing or be eligible to obtain credentials.

• Exceptional skills in territory and account management.

• A Bachelor's degree is required.

• Possession of a valid driver's license.

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

• Extensive experience in educating others on payer processes, coverage requirements, and access issues related to 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.

• Candidates may be located in Atlanta, GA; Columbia, SC; Raleigh, NC; or Richmond, VA.

🏝️ Benefits

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

• Medical, dental, and vision insurance.

• 401(k) plan.

• Eligibility for a long-term incentive program.

• Option for remote work.

• Opportunity for 50% travel.