Field Reimbursement Manager, Oncology

This is a fully remote position, open to applicants in Mississippi.

📋 Description

• Act as the main field-based leader for proactive education, support, and issue resolution with healthcare providers and their office staff concerning patient access to J&J Oncology therapies.

• Allocate at least 50% of your time on-site with healthcare professionals, assess their educational needs, and promote collaboration among stakeholders.

• Inform healthcare providers about reimbursement procedures, claims submissions, and payer coding requirements.

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

• Function as the local expert in reimbursement and a subject matter authority on access and affordability solutions.

• Tackle significant patient access and affordability challenges.

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

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

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

• Keep abreast of market dynamics, coverage, and coding regulations.

• Build knowledge of hub and specialty distribution channels.

• Conduct business in accordance with ethical, legal, and compliance guidelines, and complete all necessary training.

• Monitor product coverage, access information, marketplace conditions, and stakeholder practices.

• Tailor resources and messaging for healthcare providers 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.

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

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

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

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

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

• Experience with patient support HUB services.

• Valid US driver’s license and a driving record that meets company standards.

• Ability to predominantly engage healthcare professionals in person.

• Willingness to travel up to 50%, including occasional overnight stays.

• Permanent residence within the specified territory.

• Experience in Oncology disease states is preferred.

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

• Strong market access knowledge and business acumen are preferred.

• Understanding of Medicare, Medicaid, and private payer initiatives is preferred.

• Technical expertise in payer policy and reimbursement is preferred.

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

• Commitment to learning about emerging technologies, including AI.

🏝️ Benefits

• Inclusive work environment.

• Equal opportunity employment.

• Accommodations during the interview process for applicants with disabilities.