Oncology Field Reimbursement Specialist
4 weeks ago
Purpose:
Bayer is seeking a highly skilled and experienced Oncology Field Reimbursement Specialist to join our team. As a key member of our organization, you will be responsible for ensuring patient access to Bayer oncology products within assigned geographical areas. This will involve supporting healthcare providers and office staff in navigating therapy prior authorizations, medical necessity documentation, and therapy PA denial appeals.
Key Responsibilities:
- Develop collaborative working partnerships with healthcare providers and office staff to support patient access to therapies.
- Work with medical practice therapy decision makers, practice clinical administrators, key office support staff, and clinical pharmacists to assist with health plan/PBM therapy approval requests.
- Collaborate with the Bayer Patient Support Services Team, Market Access Field Teams, Bayer AGMs, SCs, and MSLs to execute reimbursement and access programs to reduce access and affordability hurdles for patients on Bayer oncology products.
- Stay current with local MAC policies and procedures.
- Proactively educate and support prior authorization processes, appeals, and denials.
- Utilize CoverMyMeds portal access experience to streamline prior authorization processes.
- Develop and maintain strong relationships with healthcare providers, office staff, and other stakeholders to ensure seamless patient access to therapies.
Requirements:
- Bachelor's Degree or minimum of 5 years healthcare-related reimbursement experience.
- 2+ years of field reimbursement experience.
- In-depth understanding of payer/PBM therapy approval requirements, including prior authorization, medical necessity, denial appeals, formulary coverage, and payment for oncology therapies across all sites of care.
- Broad knowledge of Medicare, managed care, third-party payers, and Medicaid.
- Demonstrated excellence in meeting and exceeding customer expectations, especially in demanding situations.
- Ability to effectively address customer concerns in a timely fashion and work collaboratively with external and internal stakeholders.
- Exceptional knowledge of healthcare management, pharmaceutical manufacturer federal, state, and local compliance requirements, and area reimbursement management.
Preferred Qualifications:
- 2+ years of oncology field reimbursement experience.
- Experience working with key oncology stakeholders.
Additional Information:
Bayer offers a competitive salary range of $157,800.00 to $236,000.00, plus additional compensation, including a bonus or commission (if relevant). Additional benefits include healthcare, vision, dental, retirement, PTO, sick leave, and more. This posting will be available for application until at least.
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