Field Reimbursement Manager, Oncology

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

📋 Description

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

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

• Guide providers on the resources available to tackle access challenges.

• Offer local expertise pertaining to national and regional payer policies, payer issues, coding modifications, and the proper claims submission processes.

• Work collaboratively with internal Oncology stakeholders for effective key account management.

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

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

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

• Willingness to travel approximately 50% of the time.

⛳️ Requirements

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

• Background in 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 policy, affordability support, and operations of patient support programs.

• Strong comprehension of and ability to convey 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 their associated reimbursement dynamics.

• Must meet all applicable HCIR credentialing requirements and maintain good standing or be eligible to achieve these credentials.

• Excellent skills in territory and account management.

• A Bachelor’s degree is required.

• A valid driver’s license is necessary.

• At least 5 years of industry experience in access and reimbursement or account management is preferred.

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

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

🏝️ Benefits

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

• Medical, dental, and vision insurance.

• 401(k) plan.

• Long-term incentive programs.

• Availability of remote work.

• Equal opportunity employment.