Job Description
Field-based reimbursement manager for oncology products, supporting healthcare providers with patient access programs, payor policies, and claims guidance across Connecticut and Massachusetts territories.
Responsibilities
- Educate healthcare providers on patient support programs, specialty pharmacy networks, and white-bagging options
- Advise providers on payor policies, coding changes, and appropriate claims submission processes
- Collaborate with internal oncology stakeholders for key account management and relationship building
- Report payer trends and access barriers to Patient Services and account management teams
- Maintain current knowledge of managed care, reimbursement, and policy developments
Requirements
- Oncology or hematology-oncology experience with physician-administered or buy-and-bill products
- Demonstrated expertise in coding, billing, prior authorization, appeals, and payer policy
- Comprehensive understanding of Medicare Parts A, B, C, and D reimbursement dynamics
- Ability to communicate technical billing and coding requirements at national and regional levels
- Valid HCIR healthcare industry representative credentialing eligibility for assigned territory
- Bachelor's degree and valid driver's license
- Strong territory and account management skills
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