Field Reimbursement Manager, Oncology – Patient Engagement & Customer Solutions

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

📋 Description

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

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

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

• Work in conjunction with sales representatives and key account managers as the local expert on access, fulfillment, and reimbursement.

• Facilitate compliant discussions regarding access and fulfillment with field support team members.

• Employ data and account management skills to proactively tackle access barriers.

• Address urgent patient access and affordability challenges with a sense of responsibility.

• Collaborate with managed care colleagues on existing policies and potential modifications.

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

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

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

• Stay informed on market dynamics, coverage, and coding requirements.

• Enhance knowledge of hub and specialty distribution channels.

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

• Serve as the subject matter expert on access and affordability solutions across Medicare, Medicaid Managed Care, Commercial, and other payer types.

• Conduct business in accordance with ethical, legal, and compliance standards while completing required training.

⛳️ 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 in a provider office setting.

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

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

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

• Problem-solving skills to navigate complex access scenarios and formulate solutions.

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

• Experience with patient support HUB services.

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

• Permanent residence within the specified territory.

• Preferably, experience in oncology disease states.

• Advanced degree and/or relevant certifications in prior authorization and/or billing and coding is a plus.

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

• Familiarity with Medicare, Medicaid, and private payer initiatives is advantageous.

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

• Proficient in using salesforce.com CRM, Microsoft Word, and Excel is preferred.

• Commitment to embracing emerging technologies such as AI.

• Willingness to travel up to 75% of the time.

🏝️ 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.

• 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.

• Inclusive interview process and disability accommodations.