Field Reimbursement Manager, Oncology

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

📋 Description

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

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

• Advise providers on resources that address access challenges.

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

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

• Report payer trends related to approved products to Patient Services and MHC account management teams.

• Build and nurture relationships with relevant providers in the designated territory.

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

• Operate as a field-based representative within a reasonable distance from the primary city.

⛳️ Requirements

• Preferred experience in oncology and/or hematology-oncology.

• Strongly 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 operations of patient support programs.

• Strong grasp of technical coding and billing requirements and the capability to communicate these across all care settings at national and regional levels.

• In-depth knowledge of Medicare Parts A, B, C, and D and their associated reimbursement dynamics.

• Must meet all applicable healthcare industry representative credentialing requirements and be in good standing or eligible to obtain them.

• Exceptional territory and account management abilities.

• Bachelor’s degree required.

• Valid driver's license is necessary.

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

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

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

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

🏝️ Benefits

• Paid time off, which includes vacation, holidays, and sick leave.

• Medical, dental, and vision insurance coverage.

• 401(k) retirement plan.

• Eligibility to participate in long-term incentive programs.

• Option for remote work.

• Commitment to equal opportunity employment.

• Support for reasonable accommodations for applicants in the US and Puerto Rico.