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 resolution of issues related to patient access to J&J Oncology therapies.

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

• Collaborate with sales representatives, key account managers, managed care colleagues, and other members of the field support team.

• Address urgent patient access and affordability challenges promptly.

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

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

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

• Stay informed about national, regional, local, and account market dynamics, including coverage and coding requirements.

• Develop an understanding of hub and specialty distribution channels to enhance practice and patient support.

• Collaborate with internal J&J departments such as 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 line with ethical, legal, and compliance standards while completing necessary training.

• Stay up-to-date on product coverage, access knowledge, market conditions, and stakeholder practices.

• Tailor resources and messaging to adapt to the evolving healthcare ecosystem and healthcare provider needs.

• Spend up to 50% of working hours 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 within the provider office environment.

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

• Reimbursement or relevant managed care experience covering 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 complex access scenarios and identify timely solutions.

• Excellent written and verbal communication abilities with efficient follow-through.

• Experience with patient support HUB services.

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

• Capacity to maintain up to 50% travel consistently.

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

• Oncology disease state experience is preferred.

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

• Strong understanding of market access and business acumen is preferred.

• Familiarity with Medicare, Medicaid, and private payer initiatives impacting pharmaceutical and biotechnology reimbursement is preferred.

• Technical knowledge of payer policy, including coding, coverage, and payment is preferred.

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

• Commitment to learning about emerging technologies, such as AI, is preferred.

🏝️ Benefits

• Inclusive work environment.

• Equal opportunity employment.

• Interview process accommodations for applicants with disabilities.