Field Reimbursement Access Manager, Oncology

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🕒 vor 5 Tagen

🏖️ New Jersey, Pennsylvania – Remote

infoinfo

💵 $102.000 - $177.100 / Jahr

⏰ Vollzeit

🟡 Mittelstufe

🟠 Senior

👔 Manager

🗣️🇺🇸🇬🇧 Englisch erforderlich

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Logo of Johnson & Johnson

Johnson & Johnson

10.000+ Mitarbeiter

Gegründet 1886

🏥 Gesundheitswesen

⚕️ Krankenversicherung

💊 Pharmazie

Healthcare • Healthcare Insurance • Pharmaceuticals

Johnson & Johnson ist ein globales Gesundheitsunternehmen, das Arzneimittel, Therapien und medizinische Geräte in verschiedenen therapeutischen Bereichen entdeckt, entwickelt, herstellt und vermarktet, darunter Onkologie, Neurowissenschaften, Immunologie, Herz-Lungen- und Herz-Kreislauf-Versorgung, Orthopädie, Chirurgie und Augenheilkunde. Das Unternehmen betreibt groß angelegte Forschungs- und Entwicklungsprogramme, klinische Entwicklungs- und Fertigungsprogramme und ist auch aktiv in Mitarbeiterprogrammen, Nachhaltigkeit, globalen Gesundheitsinitiativen und gesellschaftlichem Engagement weltweit.

Beschreibung

• Serve as the primary field-based lead for education, assistance, and issue resolution with healthcare providers and office staff regarding patient access to J&J Oncology therapies • Invest up to 50% of time on-site with healthcare providers, assess education needs, and facilitate stakeholder collaboration • Educate healthcare providers on reimbursement processes, claims submissions, procedures, and payer coding requirements • Collaborate with sales representatives, key account managers, managed care colleagues, and internal J&J departments • Address critical patient access and affordability issues • Provide field-based reimbursement and access support, education, and creative problem-solving • Build trust-based relationships with customers in assigned Oncology accounts • Manage territory logistics, routing, and account business planning • Maintain knowledge of market dynamics, coverage, and coding requirements • Grow knowledge of hub and specialty distribution channels • Serve as subject matter expert on access and affordability solutions across Medicare, Medicaid Managed Care, and commercial payer plans • Execute business in accordance with ethical, legal, and compliance standards • Remain current on product coverage, access, marketplace conditions, and stakeholder practices • Customize resources and messaging for healthcare providers and staff

🎯 Anforderungen

• Bachelor’s degree, preferably in healthcare or business/public administration • Minimum of 5 years of relevant professional experience • Account Management and/or Reimbursement experience working in the provider office setting • Expertise with pharmacy and medical/buy & bill benefit design, coding, billing, prior authorizations, office operations, and appeals processes • Reimbursement or relevant managed care experience, including 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 • Superior written and verbal communication skills and efficient follow-through • Experience working with patient support HUB services • Valid US driver’s license and a driving record in compliance with company standards • Permanent residence in the listed territory • Oncology disease state experience preferred • Advanced degree and/or relevant certifications in prior authorization and/or billing and coding preferred • Understanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement preferred • Technical knowledge of payer policy, including coding, coverage, and payment preferred • Competence with Salesforce.com CRM, Microsoft Word, and Excel preferred • This role involves travel up to 75% of the time

🏖️ Vorteile

• Consolidated retirement plan (pension) • Savings plan (401(k)) • 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

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