Field Reimbursement Manager, Oncology

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

📋 Description

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

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

• Offer guidance on resources available to resolve access challenges.

• Deliver local expertise concerning national and regional payer policies, payer challenges, coding modifications, and the correct claims submission processes.

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

• Report payer trends related to 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.

• Function in a field-based role within a reasonable distance from the primary city.

• Travel around 50% of the time.

⛳️ Requirements

• Strong preference for candidates with experience in oncology and/or hematology-oncology.

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

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

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

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

• Must meet all relevant HCIR credentialing standards and maintain good standing, or be eligible to acquire necessary credentials.

• Exceptional territory and account management abilities.

• Bachelor's degree required.

• Must possess a valid driver's license.

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

• Experience in educating others about payer processes, coverage requirements, and access-related matters for specialty medications is preferred.

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

🏝️ Benefits

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

• Comprehensive medical, dental, and vision insurance.

• 401(k) plan.

• Eligibility to engage in long-term incentive programs.

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