Field Reimbursement Manager – Oncology

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

📋 Description

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

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

• Provide education to healthcare professionals (HCPs) regarding reimbursement processes, claims submissions, procedures, and payer coding requirements.

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

• Position yourself as the local team’s expert on access, fulfillment, and reimbursement.

• Facilitate compliant discussions surrounding access and fulfillment.

• Utilize data and account management expertise to proactively mitigate access barriers.

• Address urgent patient access and affordability challenges with responsibility and promptness.

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

• Establish trust-based relationships with customers in assigned 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.

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

• Offer subject matter expertise on access and affordability solutions across Medicare, Medicaid Managed Care, Commercial, and other payer types.

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

⛳️ Requirements

• A bachelor’s degree, ideally in healthcare or business/public administration.

• A minimum of 5 years of relevant professional experience.

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

• Proficiency in pharmacy and medical/buy & bill benefit design, coding, billing, prior authorizations, office operations, and appeals processes.

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

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

• Strong problem-solving skills to navigate complex access scenarios and develop solutions.

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

• Experience with patient support HUB services.

• A valid US driver’s license and a driving record that complies with company standards.

• Permanent residence within the assigned territory.

• Comprehensive knowledge of medication access channels, including pharmacy and medical benefit, buy & bill, and/or assignment of benefit.

• Ability to analyze complex quantitative and qualitative data.

• Capacity to stay updated on product coverage, access information, market conditions, and stakeholder practices.

• Flexibility to adapt to the evolving healthcare landscape and tailor resources and messaging for HCPs and their staff.

• Willingness to travel up to 75%.

• Preferred experience in oncology disease states.

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

• Understanding of Medicare, Medicaid, and private payer initiatives influencing pharmaceutical and biotechnology reimbursement.

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

🏝️ 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, with additional provisions for residents of Colorado and 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 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.