Field Reimbursement Manager, Oncology

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

📋 Description

• Provide education to healthcare providers regarding patient support initiatives, access and reimbursement assistance, and relevant services.

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

• Offer guidance to providers on resources that tackle access challenges.

• Share local insights on both national and regional payer regulations, issues, coding modifications, and claims submission procedures.

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

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

• Build and nurture relationships with relevant providers in the assigned territory.

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

• Operate in a field-based capacity within a reasonable distance from the primary city.

• Anticipate travel requirements of approximately 50% of the time.

⛳️ Requirements

• Prior experience in oncology and/or hematology-oncology is highly preferred.

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

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

• Capability to convey technical coding and billing requirements at both national and regional levels across diverse care settings.

• Thorough understanding of Medicare Parts A, B, C, and D along with their associated reimbursement dynamics.

• Must meet the relevant healthcare industry representative credentialing standards.

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

• Exceptional skills in territory and account management.

• A bachelor's degree is required.

• A 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 mandates, and access-related scenarios for specialty medicines is preferred.

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

🏝️ Benefits

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

• Medical, dental, and vision insurance coverage.

• 401(k) retirement plan.

• Eligibility to participate in long-term incentive programs.

• Opportunities for travel (approximately 50% of the time).

• Option for remote work.