Field Reimbursement Manager, Oncology

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

📋 Description

• Provide education to healthcare professionals regarding patient support programs, as well as access and reimbursement support tools and services.

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

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

• Deliver local expertise concerning national and regional payer policies, payer issues, coding updates, and the proper claims submission processes.

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

• 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 informed about managed care, reimbursement, and policy developments.

• Conduct field-based activities within a reasonable distance from the primary city.

⛳️ Requirements

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

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

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

• Robust understanding and the 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 their associated reimbursement dynamics.

• Meet all relevant healthcare industry representative credentialing requirements and maintain good standing, or be eligible to obtain them.

• Exceptional territory and account management capabilities.

• Bachelor's degree is required.

• A valid driver's license is necessary.

• A minimum of 5 years of industry experience in access and reimbursement or account management is preferred.

• Significant experience in educating others on payer processes, coverage requirements, and access-related issues for specialty medicines is preferred.

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

• Willingness and ability to travel up to 50% of the time.

🏝️ Benefits

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

• Medical, dental, and vision insurance coverage.

• 401(k) retirement plan.

• Eligibility for participation in long-term incentive programs.

• Potential for bonuses, commissions, incentives, and other compensation, subject to Company discretion.