Field Reimbursement Manager, Oncology

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

📋 Description

• Act as the main field-based leader for education, assistance, and problem resolution concerning patient access to J&J Oncology therapies.

• Provide education to healthcare providers and office personnel on reimbursement processes, claims submissions, procedures, and payer coding mandates.

• Collaborate with sales representatives, key account managers, managed care teams, and internal J&J departments.

• Tackle critical issues related to patient access and affordability.

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

• Establish trust-based relationships with customers in designated Oncology accounts.

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

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

• Develop an understanding of hub and specialty distribution channels.

• Offer subject-matter expertise on access and affordability solutions across Medicare, Medicaid Managed Care, and commercial payer plans.

• Conduct business in accordance with ethical, legal, and compliance standards.

• Spend up to 50% of time on-site with healthcare providers.

⛳️ Requirements

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

• At least 5 years of relevant professional experience.

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

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

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

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

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

• Excellent written and verbal communication abilities.

• Experience with patient support HUB services.

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

• Willingness to travel up to 50% of the time.

• Permanent residence in the specified territory within reasonable distance to a major airport.

• Preferred experience in Oncology disease states.

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

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

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

• Commitment to staying updated on emerging technologies such as AI preferred.

🏝️ Benefits

• Inclusive work environment.

• Equal Opportunity Employer.

• Accommodation support during the interview process.