Field Reimbursement Manager – Oncology

This is a fully remote position, open to applicants in Illinois, +1 more state.

📋 Description

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

• Allocate up to 50% of your time on-site with healthcare providers to evaluate their educational requirements.

• Promote collaboration among healthcare providers, office personnel, and internal stakeholders.

• Provide education to HCPs on reimbursement processes, claims submissions, procedures, and payer coding requirements.

• Work in partnership with sales representatives, key account managers, managed care colleagues, and other field support teams.

• Swiftly address critical issues concerning patient access and affordability.

• Offer 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.

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

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

• Collaborate with the Marketing, Sales, Medical Science, SCG, IBG, HCC, and PECS departments.

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

• Complete necessary training and conduct business in compliance with ethical, legal, and compliance standards.

• Monitor product coverage, access conditions, market changes, and stakeholder practices.

• Tailor resources and messaging for HCPs 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, fostering strong customer relationships.

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

• Background in reimbursement or 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.

• Problem-solving skills to effectively navigate challenging access scenarios and identify 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.

• Willingness to maintain up to 50% travel consistently.

• Permanent residence in the specified territory.

• Preferably, experience in the oncology disease state.

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

• Strong market access and business acumen are preferred.

• Knowledge of Medicare, Medicaid, and private payer initiatives impacting pharmaceutical and biotechnology reimbursement is preferred.

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

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

• Commitment to learning and adapting to 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; for employees residing in Colorado – 48 hours per calendar year; for employees residing in Washington – 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 following 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.

• Inclusive interview process and accommodations for disabilities.