Field Reimbursement Manager, Oncology

Bayer•Residence Based, FL

4d•Onsite

About The Position

The Field Reimbursement Manager, Oncology is responsible for supporting patient access to Bayer oncology products in an assigned geographic territory. The role helps healthcare providers and office staff navigate therapy prior authorizations, medical-necessity documentation, and appeals of denied prior authorizations. It develops collaborative partnerships with healthcare providers and practice staff and works with therapy decision makers, clinical administrators, support staff, and clinical pharmacists on health plan and pharmacy benefit manager approval requests. The position collaborates with Bayer Patient Support Services, Market Access Field Teams, Bayer AGMs, SCs, and MSLs to deliver reimbursement and access programs that reduce access and affordability barriers. The territory covers Florida from Gainesville south; the candidate must live within the territory. Travel, including significant overnight travel, may be up to 50%.

Requirements

Bachelor’s degree or at least 5 years of healthcare-related reimbursement experience.
At least 2 years of field reimbursement experience.
In-depth understanding of payer and PBM therapy approval requirements, including prior authorization, medical necessity, denial appeals, formulary coverage, and payment for oncology therapies across hospital, clinic, and integrated delivery network sites of care.
Broad knowledge of Medicare, managed care, third-party payers, and Medicaid.
Demonstrated excellence in meeting and exceeding customer expectations, including in demanding situations.
Ability to address customer concerns promptly and collaboratively with internal and external stakeholders.
Strong interpersonal skills to work with practice clinical decision makers, office support staff, clinical pharmacists, and office managers.
Knowledge of customer relations, therapy formulary coverage, and utilization management, with the ability to interpret complex information.
Leadership ability to organize, communicate, and collaborate effectively with healthcare providers, key practice staff, and Bayer team members.
Knowledge of healthcare management and pharmaceutical manufacturer federal, state, and local compliance requirements.
Valid driver’s license and safe driving record/MVR.
Must reside within the Florida territory covering Gainesville south.
Ability to travel up to 50%, including significant overnight travel.

Nice To Haves

At least 2 years of oncology field reimbursement experience.
Experience in oncology and working with key oncology stakeholders.
CoverMyMeds portal access experience.
Experience with specialty pharmacies and educating or supporting pharmacies.
Experience with Bayer programs and therapies, government, national and local commercial payers, state Medicaid, and managed plans.
Experience educating and supporting prior authorizations, appeals, and denials.
Experience with new product or indication launches.
Experience engaging healthcare providers across hospitals, private practices, multispecialty practices, integrated delivery networks, outpatient clinics, and other facilities.

Responsibilities

Support patient access to Bayer oncology products by helping healthcare providers and office staff navigate prior authorizations, medical-necessity documentation, and denied-authorization appeals.
Develop collaborative working relationships with healthcare providers and office staff, including practice decision makers, clinical administrators, support staff, and clinical pharmacists.
Assist with health plan and pharmacy benefit manager therapy approval requests.
Collaborate with Bayer Patient Support Services, Market Access Field Teams, Bayer AGMs, SCs, and MSLs to execute reimbursement and access programs.
Educate and support providers and pharmacies on access services, payer requirements, authorization processes, appeals, and denials.
Stay current on local MAC policies and procedures and payer and formulary requirements.
Manage the assigned territory and engage healthcare providers in hospitals, private practices, multispecialty practices, integrated delivery networks, outpatient clinics, and other facilities.
Identify and resolve healthcare provider and office staff issues with payer and PBM therapy approvals; proactively address and resolve escalations with timely follow-up.
Communicate and collaborate with healthcare providers, key practice staff, and internal and external Bayer teams.
Travel within the territory, including overnight travel, as needed, up to 50%.