Field Reimbursement Manager – Oncology

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

📋 Description

• Act as the primary field lead for education, assistance, and problem resolution related to patient access to J&J Oncology therapies.

• Allocate up to 50% of your time on-site with healthcare providers to assess educational needs and foster collaboration among stakeholders.

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

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

• Tackle urgent patient access and affordability issues effectively.

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

• Develop trust-based relationships with customers throughout 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 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 payer plans.

• Conduct business in adherence to ethical, legal, and compliance standards, completing all required training.

• Monitor and anticipate changes in product coverage, access, marketplace conditions, and stakeholder practices.

• Tailor resources and messaging for healthcare providers and staff based on the evolving healthcare ecosystem.

⛳️ Requirements

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

• At least 5 years of pertinent professional experience.

• Experience in Account Management and/or Reimbursement, particularly in provider office settings, fostering strong customer relationships.

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

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

• Strong ability to build relationships, collaborate, and influence across a matrix organization.

• Adept problem-solving skills to navigate complex access scenarios and identify effective solutions efficiently.

• Excellent written and verbal communication skills with a strong 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 within the specified territory.

• Preferred: Experience in oncology disease state.

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

• Strong market access and business acumen.

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

• Preferred: Technical understanding of payer policies, including coding, coverage, and payment.

• Preferred: Proficiency in Salesforce.com CRM, Microsoft Word, and Excel.

• 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 employees – 48 hours per calendar year; Washington employees – 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 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.