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Role fitCore Competencies
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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 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 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 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
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 settings of care
- Comprehensive understanding of Medicare Parts A, B, C, and D and associated reimbursement dynamics
- Must satisfy applicable health care industry representative credentialing requirements and be in good standing or eligible to obtain 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
- 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
- Ability to live within a reasonable distance from the primary city
- Candidates may live in Atlanta, GA; Columbia, SC; Raleigh, NC; or Richmond, VA
Benefits
Comp & perks- Paid time off, including vacation, holidays, and sick leave
- Medical, dental, and vision insurance
- 401(k)
- Long-term incentive program eligibility
- Remote work arrangement
- 50% travel opportunity
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Coding ChangesClaims SubmissionBenefit VerificationPrior AuthorizationAppeals ProcessPatient Support Program OperationsCoverage RequirementsAffordability SupportSpecialty DistributionSpecialty Pharmacy Networks
Soft Skills
Communication SkillsRelationship BuildingTerritory ManagementLeadership Skills
Certifications & Qualifications
Healthcare Industry Representative Credentialing
Industry Keywords
Managed CareReimbursementPayer IssuesOncologyHematologyHealthcare ProvidersAccess IssuesPatient Support ProgramsBuy-and-Bill ProductsMedicare Parts A, B, C, and D