Field Reimbursement Manager, Oncology

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

📋 Description

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

• Instruct providers on specific product acquisition and access options, which include specialty pharmacy networks, specialty distribution, and white-bagging assistance.

• Inform providers about resources that address access-related challenges.

• Offer localized expertise on national and regional payer policies, payer-related issues, coding updates, and proper claims submission processes.

• 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 designated territory.

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

• Travel approximately 50% of the time.

⛳️ Requirements

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

• 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 policy, affordability support, and operations of patient support programs.

• Capability to convey technical coding and billing requirements across national and regional levels in various care settings.

• Extensive knowledge of Medicare Parts A, B, C, and D along with the associated reimbursement dynamics.

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

• Strong skills in territory and account management.

• A bachelor's degree is required.

• A valid driver's license is necessary.

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

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

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

• Must reside within a reasonable distance from the primary city and within the specified candidate cities.

🏝️ 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.

• Reasonable accommodations available for applicants with disabilities.