Field Reimbursement Access Manager, Oncology

This is a fully remote position, open to applicants in New Jersey, +1 more state.

📋 Description

• Act as the primary field-based leader for education, support, and resolution of issues with healthcare providers and office personnel concerning patient access to J&J Oncology therapies.

• Dedicate up to 50% of your time on-site with healthcare providers to evaluate educational needs and promote collaboration among stakeholders.

• Inform healthcare providers about reimbursement procedures, claims submissions, processes, and payer coding requirements.

• Work closely with sales representatives, key account managers, managed care colleagues, and internal J&J departments.

• Tackle critical patient access and affordability challenges.

• Deliver field-based reimbursement and access assistance, education, and innovative problem-solving.

• Establish trust-based relationships with customers in designated Oncology accounts.

• Oversee territory logistics, route planning, and account business strategy.

• Keep abreast of market dynamics, coverage, and coding requirements.

• Enhance understanding of hub and specialty distribution channels.

• Act as a subject matter expert on access and affordability solutions across Medicare, Medicaid Managed Care, and commercial payer plans.

• Conduct business in alignment with ethical, legal, and compliance standards.

• Stay updated on product coverage, access, marketplace conditions, and stakeholder practices.

• Tailor resources and messaging for healthcare providers and staff.

⛳️ Requirements

• Bachelor’s degree, ideally in healthcare or business/public administration.

• At least 5 years of pertinent professional experience.

• Experience in Account Management and/or Reimbursement within a provider office environment.

• Proficiency in pharmacy and medical/buy & bill benefit design, coding, billing, prior authorizations, office operations, and appeals processes.

• Background in reimbursement or relevant managed care, including revenue cycle, buy-and-bill, prior authorization, coding, and appeals.

• Ability to build relationships, work collaboratively, and influence across a matrix organization.

• Strong problem-solving skills to navigate complex access scenarios.

• Excellent written and verbal communication skills with effective follow-through.

• Experience with patient support HUB services.

• Valid US driver’s license with a driving record that meets company standards.

• Permanent residence within the specified territory.

• Preferred experience in the oncology disease state.

• Advanced degree and/or relevant certifications in prior authorization and/or billing and coding are preferred.

• Familiarity with Medicare, Medicaid, and private payer initiatives impacting reimbursement is preferred.

• Technical understanding of payer policy, including coding, coverage, and payment is preferred.

• Proficiency with Salesforce.com CRM, Microsoft Word, and Excel is preferred.

• This position requires travel up to 75% of the time.

🏝️ Benefits

• Consolidated retirement plan (pension).

• Savings plan (401(k)).

• Vacation – 120 hours per calendar year.

• Sick time – 40 hours per calendar year.

• Holiday pay, including Floating Holidays – 13 days per calendar year.

• Work, Personal and Family Time – up to 40 hours per calendar year.

• Parental Leave – 480 hours within one year of the birth/adoption/foster care of a child.

• Bereavement Leave – 240 hours for an immediate family member; 40 hours for an extended family member per calendar year.

• Caregiver Leave – 80 hours in a 52-week rolling period.

• Volunteer Leave – 32 hours per calendar year.

• Military Spouse Time-Off – 80 hours per calendar year.