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, access, and reimbursement support tools and services.

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

• Enlighten providers about resources available to tackle access challenges.

• Offer local expertise on national and regional payer policies, payer-related issues, coding updates, and proper claims submission processes.

• Collaborate with internal Oncology stakeholders on key account management.

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

• Build and maintain relationships with relevant providers within the designated territory.

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

• Operate in a field-based territory, traveling approximately 50% of the time.

⛳️ Requirements

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

• Preference for experience with 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 policies, affordability support, and patient support program operations.

• Capability to 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 HCIR credentialing requirements and maintain good standing or be eligible to obtain the necessary credentials.

• Strong territory and account management skills.

• 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.

• Significant experience in educating others about payer processes and access-related situations for specialty medicines is preferred.

• A strong history of leadership within the current role is preferred.

• Willingness to travel 50% of the time.

🏝️ Benefits

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

• Medical, dental, and vision insurance.

• 401(k) retirement plan.

• Participation in long-term incentive programs.

• Support for reasonable accommodations.

• Travel reimbursement details are not explicitly mentioned.