Field Reimbursement Manager – Oncology

Emploi pas sur LinkedIn

🕒 il y a 6 jours

🚗 Michigan, Minnesota, +1 états de plus – Distant

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💵 $102 000 - $177 100 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

🦅 Parrain de Visa H1B

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👻 Score fantôme 0%

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🗣️🇺🇸🇬🇧 Anglais requis

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Logo of Johnson & Johnson

Johnson & Johnson

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 regarding patient access to J&J Oncology therapies • Spend up to 50% of time on-site with healthcare providers, assessing education needs and facilitating stakeholder collaboration • Educate HCPs on reimbursement processes, claims submissions, procedures, and payer coding requirements • Collaborate with sales representatives, key account managers, managed care colleagues, and other field support teams • Serve as the local team’s access, fulfillment, and reimbursement expert • Lead compliant access and fulfillment discussions • Use data and account management skills to proactively address access barriers • Address critical patient access and affordability issues with urgency and accountability • Conduct field-based reimbursement and access support, education, and creative problem-solving • Build trust-based relationships with customers in assigned 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 • Collaborate with internal J&J departments including marketing, sales, medical science, SCG, IBG, HCC, and PECS • Provide subject matter expertise on access and affordability solutions across Medicare, Medicaid Managed Care, Commercial, and other payer types • Complete required training and execute business according to ethical, legal, and compliance standards

🎯 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 and identify solutions • 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 • Extensive knowledge of medication access channels, including pharmacy and medical benefit, buy & bill, and/or assignment of benefit • Ability to analyze complex quantitative and qualitative data • Ability to remain current on product coverage, access knowledge, marketplace conditions, and stakeholder practices • Ability to adapt to the changing healthcare ecosystem and customize resources and messaging for HCPs and HCP staff • Up to 75% travel • 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 pharmaceutical and biotechnology reimbursement • Salesforce.com CRM, Microsoft Word, and Excel competence preferred

🏖️ Avantages

• 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, with additional provisions for Colorado and Washington residents • 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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