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Core Competencies
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 processes, coding, and patient support programs. Proven ability to educate healthcare professionals and manage accounts effectively within the healthcare industry.
Highest-signal resume keywords
Oncology ExperienceReimbursement ExpertiseAccount Management SkillsPayer Policy KnowledgeHealthcare Industry Credentialing
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
CodingBillingClaims SubmissionBenefit VerificationPrior AuthorizationPatient Support Program OperationsMedical Benefit ReimbursementAccess ModelsPayer IssuesCoverage Requirements
Soft Skills
Communication SkillsRelationship BuildingLeadership SkillsTerritory ManagementCollaboration
Certifications & Qualifications
Health Care Industry Representative Credentialing
Industry Keywords
Managed CareSpecialty PharmacySpecialty DistributionOncologyHematology-OncologyPayer TrendsAccess SupportHealthcare PoliciesAccount ManagementPatient Services
About the role
Key responsibilities & impact- Educate healthcare professionals 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 addressing 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 on 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
- Work as a field-based representative within the assigned territory
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 preferred
- Demonstrated understanding of coverage, coding, billing, reimbursement, benefit verification, prior authorization, appeals, claims submission, payer policy, affordability support, and patient support program operations
- Ability to communicate technical coding and billing requirements at national and regional levels across all care settings
- Comprehensive understanding of Medicare Parts A, B, C, and D and associated reimbursement dynamics
- Satisfy applicable health care industry representative (HCIR) credentialing requirements and be in good standing and/or eligible to obtain them
- 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
- 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
- Willingness to travel 50% of the time
Benefits
Comp & perks- Paid time off, including vacation, holidays, and sick leave
- Medical, dental, and vision insurance
- 401(k)
- Eligibility to participate in long-term incentive programs
- Travel-related field role
