Field Reimbursement Manager, Oncology

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

📋 Description

• Act as the main field-based leader for education, assistance, and resolution of issues related to patient access for J&J Oncology therapies.

• Allocate at least 50% of time on-site with healthcare providers to evaluate their educational needs.

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

• Partner with sales representatives, key account managers, managed care colleagues, and other field support team members.

• Tackle critical access and affordability challenges faced by patients.

• Provide on-the-ground reimbursement and access support, education, and innovative problem-solving.

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

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

• Stay updated on market dynamics, coverage, and coding requirements.

• Gain knowledge of hub and specialty distribution channels.

• Work collaboratively with internal J&J departments, including marketing, sales, medical science, SCG, IBG, HCC, and PECS.

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

• Conduct business in accordance with ethical, legal, and compliance standards and complete necessary training.

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

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

⛳️ Requirements

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

• At least 5 years of relevant professional experience.

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

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

• Reimbursement or relevant managed care experience, 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.

• 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.

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

• Permanent residence within the specified territory.

• Preferred experience in oncology disease states.

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

• Preferred knowledge of payer approval processes and business acumen.

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

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

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

• Commitment to learning about emerging technologies such as AI.

🏝️ 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; Colorado residents – 48 hours per calendar year; Washington residents – 56 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 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.