Field Reimbursement Manager, Oncology

Bayer•Avon Park, FL

5d•$147,280 - $220,920•Onsite

About The Position

The Field Reimbursement Manager, Oncology is responsible for supporting patient access to Bayer oncology products within an assigned geographic area. The role helps healthcare providers (HCPs) and office staff navigate therapy prior authorizations, medical-necessity documentation, and appeals of prior-authorization denials. It develops collaborative working relationships with HCPs and office staff and supports health-plan and pharmacy benefit manager (PBM) approval requests with practice therapy decision makers, clinical administrators, office support staff, and clinical pharmacists. The position collaborates with Bayer Patient Support Services, Market Access Field Teams, Bayer AGMs, SCs, and MSLs to execute reimbursement and access programs aimed at reducing access and affordability barriers for patients. The territory covers Florida from Gainesville south, and requires travel up to 50%. The candidate must live within the territory. Significant overnight travel may be required.

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 sites of care.
Broad knowledge of Medicare, managed care, third-party payers, and Medicaid.
Demonstrated ability to meet and exceed customer expectations, including in demanding situations.
Ability to address customer concerns promptly and collaboratively with internal and external stakeholders.
Ability to interact effectively 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 with HCPs, key practice staff, and Bayer team members.
Knowledge of healthcare management and pharmaceutical manufacturer federal, state, and local compliance requirements.
Excellent verbal and written communication and provider-education skills.
Ability to collaborate across stakeholders, solve problems proactively, defuse and resolve escalations, and follow up consistently and promptly.
Flexibility, adaptability, and territory-management experience.
Business acumen to identify and resolve HCP and office-staff challenges with payer and PBM therapy approvals.
Valid driver’s license and safe driving record/MVR.
Must be domiciled within the territory.
Able to undertake 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.
New product or indication launch experience.
Specialty pharmacy experience.
Experience educating and/or supporting pharmacies.
Experience with government, national, local commercial payer, state Medicaid, and managed plans.
Extensive disease-state and therapy-space experience specific to Bayer programs and therapies.

Responsibilities

Support HCPs and office staff in navigating therapy prior authorizations, medical-necessity documentation, and prior-authorization denial appeals.
Develop collaborative working partnerships with HCPs and office staff to support patient access to therapies.
Assist practice decision makers, clinical administrators, office support staff, and clinical pharmacists with health-plan and PBM therapy approval requests.
Collaborate with Bayer Patient Support Services, Market Access Field Teams, Bayer AGMs, SCs, and MSLs to execute reimbursement and access programs.
Help reduce access and affordability hurdles for patients using Bayer oncology products.
Educate providers and support prior-authorization processes, appeals, and denials.
Stay current with local MAC policies and procedures and proactively educate customers about Access Services by Bayer.
Resolve HCP and office-staff issues involving payer and PBM therapy approvals; provide timely follow-up and address escalations.
Manage the territory and engage HCPs across hospitals, private practices, multispecialty practices, IDNs, IDN outpatient clinics, and other facilities.
Educate and support pharmacies as needed.
Travel within the assigned territory, which covers Florida from Gainesville south.