Field Reimbursement Manager, Oncology

This is a fully remote position, open to applicants in Colorado.

📋 Description

• Act as the primary field-based point of contact for education, support, and issue resolution for healthcare providers and their office staff concerning patient access to J&J Oncology therapies.

• Allocate at least 50% of your time on-site with healthcare professionals (HCPs) to assess educational needs and facilitate collaboration among stakeholders.

• Provide education to HCPs regarding reimbursement processes, claims submission, procedures, and payer coding requirements for both core and newly launched products.

• Work in partnership with sales representatives and key account managers as the reimbursement authority for the local team.

• Tackle critical patient access and affordability concerns with a sense of urgency.

• Collaborate with managed care colleagues to gain insights into current policies and anticipate potential future changes.

• Deliver field-based reimbursement and access support, education, and innovative problem-solving in accordance with FRM Rules of Engagement.

• Establish trust-based relationships with clients across assigned Oncology accounts.

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

• Keep abreast of national, regional, local, and account market dynamics, including coverage and coding requirements.

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

• Collaborate with internal J&J departments such as marketing, sales, medical science, SCG, IBG, HCC, and PECS.

• Serve as a 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 and complete all necessary training.

• Monitor shifts in product coverage, access knowledge, market conditions, and stakeholder practices.

• Adjust resources and messaging to respond to the evolving healthcare ecosystem and the needs of HCPs.

⛳️ Requirements

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

• Minimum of 5 years of pertinent professional experience.

• Experience in Account Management and/or Reimbursement within the provider office environment, fostering strong customer relationships.

• Proficiency in pharmacy and medical/buy & bill benefits, coding, and billing.

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

• Ability to build relationships, collaborate, and influence in a matrix organization.

• Problem-solving skills to navigate challenging access scenarios and identify timely, effective solutions.

• Excellent written and verbal communication abilities with strong follow-through.

• Experience with patient support HUB services.

• Valid U.S. driver's license and a driving record that meets company standards.

• Willingness to maintain up to 50% travel, including occasional overnight stays.

• Permanent residence within the designated territory.

• Preferred experience in the oncology disease state.

• 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 impacting pharmaceutical and biotechnology reimbursement preferred.

• Technical knowledge of payer policies, including coding, coverage, and payment preferred.

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

• Commitment to learning about emerging technologies, such as AI, preferred.

• Role involves travel of up to 75% of the time.

🏝️ Benefits

• Consolidated retirement plan (pension).

• Savings plan (401(k)).

• Long-term incentive program.

• Vacation – 120 hours per calendar year.

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