Field Reimbursement Manager, Oncology

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

📋 Description

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

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

• Guide providers on resources available to tackle access challenges.

• Offer local insights on national and regional payer policies, payer issues, coding changes, and appropriate claims submission procedures.

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

• Report payer trends for approved products to 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.

• Act as a field-based representative within the assigned territory.

⛳️ Requirements

• Strongly preferred experience in oncology and/or hematology-oncology.

• Preferred background in 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 patient support program operations.

• Strong grasp and ability to articulate technical aspects of coding and billing requirements at the national and regional level across all care settings.

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

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

• Excellent skills in territory and account management.

• Bachelor's degree required.

• Valid driver's license 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 requirements, and access-related issues for specialty medicines is preferred.

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

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

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

🏝️ Benefits

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

• Medical, dental, and vision insurance.

• 401(k) plan.

• Long-term incentive programs.

• Equal opportunity employer.

• Reasonable accommodation support for applicants in the US and Puerto Rico.