Field Reimbursement Manager, Oncology

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🕒 vor 6 Tagen

⛰️ Colorado – Remote

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💵 $102.000 - $177.100 / Jahr

⏰ Vollzeit

🟡 Mittelstufe

🟠 Senior

👔 Manager

🦅 H1B-Visum-Sponsor

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👻 Geisterscore 0%

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🗣️🇺🇸🇬🇧 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 for healthcare providers and office staff regarding patient access to J&J Oncology therapies • Spend a minimum of 50% of time on-site with HCPs, assess education needs, and facilitate stakeholder collaboration • Educate HCPs on reimbursement processes, claims submissions, procedures, and payer coding requirements for core and launch products • Collaborate with sales representatives and key account managers as the reimbursement expert for the local team • Address critical patient access and affordability issues with urgency • 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 under FRM Rules of Engagement • Build trust-based relationships with customers across assigned Oncology accounts • Manage territory logistics, routing, and account business planning • Maintain knowledge of national, regional, local, and account market dynamics, including coverage and coding requirements • Grow knowledge of hub and specialty distribution channels to improve practice and patient support • Collaborate with internal J&J departments including marketing, sales, medical science, SCG, IBG, HCC, and PECS • Serve as subject matter expert on access and affordability solutions across Medicare, Medicaid Managed Care, Commercial, and other payer types • Execute business according to ethical, legal, and compliance standards and complete required training • Monitor changes in product coverage, access knowledge, marketplace conditions, and stakeholder practices • Adapt resourcing and messaging to the changing healthcare ecosystem and HCP needs

🎯 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, building strong customer relationships • Expertise with pharmacy and medical/buy & bill benefits, coding, and billing • 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 and identify timely, efficient solutions • Superior written and verbal communication skills and efficient follow-through • Experience working with patient support HUB services • Valid US driver’s license and driving record compliant with company standards • Ability to consistently maintain up to 50% travel, with occasional overnight stays • 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 • Strong market access and business acumen preferred • Understanding of Medicare, Medicaid, and private payer initiatives affecting pharmaceutical and biotechnology reimbursement preferred • Technical knowledge of payer policy, including coding, coverage, and payment preferred • Competence using Salesforce.com CRM, Microsoft Word, and Excel preferred • Commitment to learning emerging technologies, such as AI, preferred • Role involves traveling up to 75% of the time

🏖️ Vorteile

• 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; 48 hours per calendar year for employees residing in Colorado; 56 hours per calendar year for employees residing in Washington • 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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