Field Reimbursement Manager, Oncology

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

📋 Description

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

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

• Share information on available resources to tackle access challenges.

• Offer local expertise on national and regional payer policies, payer challenges, coding adjustments, and claims submission procedures.

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

• Report on 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.

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

⛳️ Requirements

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

• Familiarity with physician-administered therapies, buy-and-bill products, medical benefit reimbursement, specialty distribution/pharmacy, or complex access models is strongly preferred.

• Proven understanding of coverage, coding, billing, reimbursement, benefit verification, prior authorization, appeals, claims submission, payer policies, affordability support, and patient support program operations.

• Ability to effectively communicate technical coding and billing requirements at both national and regional levels across all care settings.

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

• Must meet applicable health care industry representative (HCIR) credentialing requirements and be in good standing, or be eligible to obtain credentials.

• Strong territory and account management skills are essential.

• 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.

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

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

• Must reside within a reasonable distance from the primary city or one of the specified cities.

• Willingness to travel 50% of the time is required.

🏝️ 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 in the US and Puerto Rico.

• Commitment to equal opportunity employment.