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, assistance, and resolving issues related to patient access to J&J Oncology therapies.

• Provide education to healthcare providers and office staff regarding reimbursement processes, claims submissions, procedures, and payer coding requirements.

• Collaborate effectively with sales representatives, key account managers, managed care colleagues, and various internal J&J departments.

• Tackle critical issues surrounding patient access and affordability.

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

• Foster trust-based relationships with customers across designated Oncology accounts.

• Oversee territory logistics, routing, and account business planning.

• Stay informed about market dynamics, coverage, and coding requirements.

• Enhance knowledge of hub and specialty distribution channels to better support practices and patients.

• Serve as the subject matter expert on access and affordability solutions across Medicare, Medicaid Managed Care, Commercial, and other payer types.

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

• Keep track of product coverage, access knowledge, market conditions, and stakeholder practices.

• Tailor resources and messaging for healthcare providers and their staff.

⛳️ Requirements

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

• At least 5 years of relevant professional experience.

• Experience in Account Management and/or reimbursement within a provider office setting.

• Proven expertise with pharmacy and medical/buy-and-bill benefit design, coding, billing, prior authorizations, office operations, and appeals processes.

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

• Capability to build relationships, collaborate, and influence within a matrix organization.

• Strong problem-solving skills to navigate complex access scenarios and identify effective, timely solutions.

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

• Experience with patient support HUB services.

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

• Permanent residence in the specified territory.

• Willingness to travel up to 75% of the time.

• Preferred experience in oncology disease states.

• Preferred advanced degree and/or relevant certifications in prior authorization and/or billing and coding.

• Preferred strong market access and business acumen.

• Preferred understanding of Medicare, Medicaid, and private payer initiatives.

• Preferred technical knowledge of payer policy, including coding, coverage, and payment.

• Preferred proficiency in Salesforce.com CRM, Microsoft Word, and Excel.

• Commitment to learning emerging technologies such as AI.

🏝️ Benefits

• Consolidated retirement plan (pension).

• Savings plan (401(k)).

• Vacation – 120 hours per calendar year.

• Sick time – 40 hours per calendar year; 48 hours for employees residing in Colorado; 56 hours for employees residing in Washington.

• 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 birth, adoption, or 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.

• Inclusive interview process and disability accommodation support.