Field Reimbursement Access Manager, Oncology

Emploi pas sur LinkedIn

🕒 il y a 5 jours

🏖️ New Jersey, Pennsylvania – Distant

🏖️ New Jersey – Remote 🔔 Pennsylvania – Remote

💵 $102 000 - $177 100 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

🦅 Parrain de Visa H1B

Cette entreprise a parrainé des visas H1B par le passé.

👻 Score fantôme 0%

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Johnson & Johnson

Site WebLinkedInTous les Emplois

10 000+ employés

Fondée en 1886

🏥 Santé

⚕️ Assurance santé

💊 Pharmaceutique

Healthcare • Healthcare Insurance • Pharmaceuticals

Johnson & Johnson est une entreprise mondiale de santé qui découvre, développe, fabrique et commercialise des médicaments, des thérapies et des dispositifs médicaux dans plusieurs domaines thérapeutiques, y compris l'oncologie, les neurosciences, l'immunologie, les soins cardiopulmonaires et cardiovasculaires, l'orthopédie, la chirurgie et la vision. L'entreprise s'engage dans des programmes de recherche et développement, de développement clinique et de fabrication à grande échelle, et participe également activement à des programmes pour les employés, à des initiatives de durabilité, de santé mondiale et d'engagement communautaire partout dans le monde.

Description

• 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

🎯 Exigences

• 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

🏖️ Avantages

• 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