Unclassified

Johnson & Johnson

450d • $100,000 - $172,500

About The Position

The Field Reimbursement Manager (Oncology) at Johnson & Johnson HCS, Inc. is a field-based role focused on enhancing patient access to oncology therapies. This position involves educating healthcare providers (HCPs) on reimbursement processes, collaborating with various stakeholders, and addressing patient access and affordability issues. The role is integral to ensuring that patients can start and stay on their treatments, thereby improving their chances of treatment success.

Requirements

• Bachelor's degree (preferably in healthcare or business/public administration). An advanced business degree (MBA) or public health (MPH) is preferred.
• Minimum of 5 years of relevant professional experience.
• Account Management and/or Reimbursement experience working in the provider office setting, building strong customer relationships.
• Demonstrated expertise with both pharmacy and medical/buy & bill benefits, coding, and billing.
• Reimbursement or relevant managed care experience (revenue cycle, buy-and-bill, prior authorization, coding, and appeals processes).
• Ability to establish relationships, collaborate, and influence across a matrix organization.
• Problem-solving ability to navigate challenging access scenarios and identify solutions in a timely and efficient manner.
• Superior communication skills (written and verbal) and efficient follow-through.
• Experience in working with patient support HUB services.
• Valid US driver's license and a driving record in compliance with company standards.
• Ability to consistently maintain up to 50% travel.
• Permanent residence in the listed territory.

Nice To Haves

• Oncology disease state experience.
• Advanced degree and/or relevant certifications in prior authorization and/or billing and coding.
• Strong market access acumen as it relates to payer approval processes and business acumen.
• Understanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement of pharmaceutical and biotechnology products.
• Excellent technical knowledge and expertise in payer policy, including all elements of reimbursement (coding, coverage, and payment) is preferred.
• Demonstrated competence with salesforce.com CRM use, Microsoft Word, and Excel.

Responsibilities

• Educate HCPs on reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations.
• Collaborate with field support team members such as sales representatives and key account managers and serve as reimbursement expert for the local team.
• Act with a sense of urgency to address critical access and affordability issues for patients.
• Partner with managed care colleagues to understand current policies and potential future changes.
• Conduct field-based reimbursement and access support, education and creative problem-solving aligned to FRM Rules of Engagement.
• Build strong, trust-based relationships with customers in all assigned Oncology accounts.
• Manage territory logistics, routing, and account business planning.
• Maintain and grow knowledge of national, regional, local, and account market dynamics including coverage and coding requirements.
• Grow the knowledge of hub and specialty distribution channels to improve practice and patient support needs.
• Collaborate with internal J&J departments such as marketing, sales, medical science, SCG, IBG, HCC, and PECS.

Benefits

• Medical, dental, vision, life insurance, short- and long-term disability, business accident insurance, and group legal insurance.
• 401(k) retirement plan participation.
• Long-term incentive program eligibility.
• Vacation - up to 120 hours per calendar year.
• Sick time - up to 40 hours per calendar year; for employees who reside in the State of Washington - up to 56 hours per calendar year.
• Holiday pay, including Floating Holidays - up to 13 days per calendar year.
• Work, Personal and Family Time - up to 40 hours per calendar year.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Industry: Chemical Manufacturing
• Education Level: Bachelor's degree