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Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in oncology and hematology-oncology, with a strong understanding of reimbursement dynamics, coding, and billing processes. Proven ability to educate healthcare providers on access and reimbursement support tools while managing key accounts effectively.
Highest-signal resume keywords
Oncology ExperienceHematology-Oncology ExperienceMedical Benefit ReimbursementPayer Policy UnderstandingAccount Management Skills
About the role
Key responsibilities & impact- Educate healthcare providers on patient support programs, access and reimbursement support tools and services
- Educate providers on product-specific acquisition and access options, including specialty pharmacy networks, specialty distribution, and white-bagging support
- Educate providers on resources available to address access issues
- Provide local expertise on national and regional payer policies, payer issues, coding changes, and appropriate claims submission processes
- Collaborate with Oncology internal stakeholders for key account management
- Report payer trends for approved products to Patient Services and MHC account management teams
- Establish and maintain relationships with appropriate providers within the territory
- Remain current on managed care, reimbursement, and policy activities
- Travel approximately 50% of the time
Requirements
What you’ll need- Oncology and/or hematology-oncology experience strongly preferred
- Experience with physician-administered therapies, buy-and-bill products, medical benefit reimbursement, specialty distribution/pharmacy, or complex access models strongly preferred
- Demonstrated understanding of coverage, coding, billing, reimbursement, benefit verification, prior authorization, appeals, claims submission, payer policy, affordability support, and patient support program operations
- Strong understanding of and ability to communicate technical coding and billing requirements at national and regional levels across all settings of care
- Comprehensive understanding of Medicare Parts A, B, C, and D and associated reimbursement dynamics
- Must satisfy all applicable HCIR credentialing requirements and be in good standing and/or eligible to obtain these credentials
- Excellent territory and account management skills
- Bachelor’s degree
- Valid driver’s license
- 5 or more years of industry experience in access and reimbursement or account management (preferred qualifications)
- Extensive experience educating others on payer processes, coverage requirements, and access-related situations for specialty medicines (preferred)
- Strong track record of leadership within current role (preferred)
Benefits
Comp & perks- Paid time off (vacation, holidays, sick)
- Medical, dental, and vision insurance
- 401(k)
- Long-term incentive programs
- Remote work availability
- Equal opportunity employment
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
CodingBillingReimbursementBenefit VerificationPrior AuthorizationClaims SubmissionAffordability SupportPatient Support Program OperationsCoverage RequirementsSpecialty Distribution
Soft Skills
Territory ManagementAccount ManagementCommunication SkillsLeadership
Certifications & Qualifications
HCIR Credentialing
Industry Keywords
Payer TrendsSpecialty Pharmacy NetworksWhite-Bagging SupportManaged CareHealthcare Providers