Field Reimbursement Manager, Oncology

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🕒 vor 1 Tag

🌲 North Carolina, South Carolina, +1 weitere Bundesländer – Remote

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⏰ Vollzeit

🟡 Mittelstufe

🟠 Senior

👔 Manager

🦅 H1B-Visum-Sponsor

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👻 Geisterscore 10%

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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 regarding patient access to J&J Oncology therapies • Educate healthcare providers and office staff on reimbursement processes, claims submissions, procedures, and payer coding requirements • Collaborate with sales representatives, key account managers, managed care colleagues, and other field support team members • Address critical patient access and affordability issues with urgency • Conduct field-based reimbursement and access support, education, and creative problem-solving • 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 • Develop 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, and commercial payer plans • Execute business according to ethical, legal, and compliance standards and complete required training • Remain current on product coverage, access knowledge, marketplace conditions, and stakeholder practices • Adapt resources and messaging to the changing healthcare ecosystem and HCP needs • Spend up to 50% of working time on-site with healthcare providers

🎯 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 • Demonstrated 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 solutions in a timely and efficient manner • 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 • Ability to consistently maintain up to 50% travel • Permanent residence in the listed territory within reasonable proximity to a major airport • 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 • Salesforce.com CRM, Microsoft Word, and Excel preferred • Commitment to learning emerging technologies, such as AI, preferred

🏖️ Vorteile

• Inclusive work environment • Equal opportunity employment • Interview process accommodations for applicants with disabilities

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