Field Reimbursement Manager, Oncology

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

📋 Description

• Act as the main field-based leader for education, support, and resolution of issues pertaining to patient access to J&J Oncology treatments.

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

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

• Partner with sales representatives, key account managers, managed care teams, and other field support units.

• Tackle urgent patient access and affordability challenges effectively.

• Offer field-based reimbursement and access assistance, education, and innovative problem-solving under the FRM Rules of Engagement.

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

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

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

• Acquire knowledge of hub and specialty distribution channels to enhance practice and patient support.

• Work in collaboration with internal J&J departments such as 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, Commercial, and other payer types.

• Conduct business in alignment with ethical, legal, and compliance standards while completing necessary training.

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

• Tailor resources and messaging for healthcare providers and staff.

⛳️ Requirements

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

• A minimum of 5 years of pertinent professional experience.

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

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

• Reimbursement or relevant managed care experience, encompassing revenue cycle, buy-and-bill, prior authorization, coding, and appeal processes.

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

• Strong problem-solving skills to navigate complex access situations and devise solutions.

• Excellent written and verbal communication skills along 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 maintain up to 50% travel consistently.

• Permanent residence within the designated territory.

• Preferred: experience in oncology disease states.

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

• Knowledge of Medicare, Medicaid, and private payer initiatives that impact pharmaceutical and biotechnology reimbursement.

• Preferred technical familiarity with payer policy, including coding, coverage, and payment.

• Preferred skills in using Salesforce CRM, Microsoft Word, and Excel.

• 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; 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/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 accommodations.