Field Reimbursement Manager, Oncology

This is a fully remote position, open to applicants in District of Columbia, +2 more states.

📋 Description

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

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

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

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

• Address urgent patient access and affordability challenges promptly.

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

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

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

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

• Acquire knowledge of hub and specialty distribution channels.

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

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

• Track product coverage, access knowledge, marketplace conditions, and stakeholder practices.

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

⛳️ Requirements

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

• At least 5 years of relevant professional experience is necessary.

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

• Proven expertise with pharmacy and medical/buy & bill benefits, coding, and billing.

• Relevant experience in reimbursement or managed care, encompassing 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 address complex access scenarios and identify prompt, efficient solutions.

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

• Familiarity with patient support HUB services is preferred.

• A valid US driver’s license and a driving record that meets company standards are required.

• Willingness to maintain up to 50% travel consistently.

• Permanent residence within the specified territory is necessary.

• Experience in the Oncology disease state is preferred.

• An advanced degree and/or relevant certifications in prior authorization and/or billing and coding is preferred.

• Understanding of Medicare, Medicaid, and private payer initiatives impacting pharmaceutical and biotechnology reimbursement is important.

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

• A commitment to learning about emerging technologies, such as AI, is preferred.

🏝️ Benefits

• 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 for Colorado residents; 56 hours for Washington residents

• 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