Field Reimbursement Manager, Oncology

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

📋 Description

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

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

• Guide providers on resources that tackle access-related challenges.

• Offer local insights 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 strategies.

• Report 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 informed about managed care, reimbursement, and policy developments.

• Travel approximately 50% of the time.

• Operate in a field-based capacity while residing within a reasonable distance from the primary city.

⛳️ Requirements

• Preference for candidates with experience in oncology and/or hematology-oncology.

• Strong preference for individuals with experience in physician-administered therapies, buy-and-bill products, medical benefit reimbursement, specialty distribution/pharmacy, or complex access models.

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

• In-depth understanding of coding and billing requirements at both national and regional levels across various care settings.

• Comprehensive knowledge of Medicare Parts A, B, C, and D and the associated reimbursement dynamics.

• Must meet all relevant healthcare industry representative (HCIR) credentialing requirements.

• Must be in good standing and/or eligible to acquire the necessary HCIR credentials.

• Exceptional territory and account management abilities.

• Bachelor's degree required.

• Valid driver's license necessary.

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

• Extensive background in educating others about payer processes, coverage requirements, and access-related situations for specialty medications 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 benefits.

• 401(k) retirement plan.

• Eligibility to participate in long-term incentive programs.

• Travel reimbursement or related travel support may be available for the 50% travel requirement.

• Access to healthcare industry credentialing resources provided by AbbVie.