Field Reimbursement Manager, Oncology

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

📋 Description

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

• Offer insights on product-specific acquisition and access alternatives, which include specialty pharmacy networks, specialty distribution, and white-bagging assistance.

• Inform about resources available to tackle access challenges.

• Deliver localized knowledge on national and regional payer policies, payer challenges, coding updates, and the correct processes for claims submission.

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

• Communicate 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.

⛳️ Requirements

• Strong preference for candidates with 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.

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

• Proven ability to communicate technical coding and billing requirements effectively at both national and regional levels across various care settings.

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

• Must meet applicable HCIR credentialing standards and maintain good standing or be eligible to obtain credentials.

• Exceptional skills in territory and account management.

• Bachelor’s degree required.

• Valid driver’s license necessary.

• Preferably, 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 scenarios for specialty medicines is preferred.

• A strong record of leadership in the current position is a plus.

• Willingness to travel 50% of the time.

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

🏝️ Benefits

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

• Medical, dental, and vision insurance.

• 401(k) plan.

• Opportunities to participate in long-term incentive programs.

• Reasonable accommodations available for applicants.

• Commitment to equal opportunity employment.