Field Reimbursement Manager, Oncology

Job not on LinkedIn

🕒 July 24

🧀 Wisconsin – Remote

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⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

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👻 Ghost score 23%

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Logo of Johnson & Johnson

Johnson & Johnson

10,000+ employees

Founded 1886

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

Johnson & Johnson is a multinational corporation focused on innovating across multiple sectors of healthcare and medicine. With a commitment to redefining healthcare, the company merges science and technology to address complex diseases through its divisions in innovative medicine and medical technology. Its areas of focus include oncology, immunology, neuroscience, and specialty ophthalmology, as well as interventional solutions and orthopaedics. J&J is dedicated to advancing global health equity and environmental sustainability while fostering innovation, diversity, and inclusion in the workplace. The company strives to provide solutions that connect health and care for providers, patients, and communities worldwide.

📋 Description

• Serve as the primary field-based lead for education, assistance, and issue resolution regarding patient access to Johnson & Johnson Immunology therapies • Spend up to 50% of time on-site with healthcare providers and assess education needs • Educate healthcare providers on product coverage, prior authorizations, appeals, reimbursement processes, claims submissions, procedures, and payer coding requirements • Collaborate with sales representatives, key account managers, managed care colleagues, and other stakeholders • 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 Immunology accounts • Manage territory logistics, routing, and account business planning • Maintain knowledge of market dynamics, coverage, coding requirements, hub, and specialty distribution channels • Collaborate with internal Johnson & Johnson 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 plans • Execute business according to ethical, legal, and compliance standards and complete required training • Anticipate changes in product coverage, access, marketplace conditions, and stakeholder practices • Adapt resources and messaging to healthcare providers and provider staff

🎯 Requirements

• Bachelor’s degree, preferably in healthcare or business/public administration • Minimum of 5 years of relevant professional experience • Account Management and/or Reimbursement experience in hospital and/or provider office settings • 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 • Experience working with patient support HUB services • Ability to establish relationships, collaborate, and influence across a matrix organization • Problem-solving ability to navigate challenging access scenarios • Valid US driver’s license and driving record compliant with company standards • Ability to maintain up to 50% travel • Permanent residence in the listed territory • Advanced business degree (MBA) or public health degree (MPH) preferred • Immunology disease state experience preferred • Advanced degree and/or relevant prior authorization or billing and coding certifications preferred • Strong market access and business acumen preferred • Understanding of Medicare, Medicaid, and private payer initiatives preferred • Technical knowledge of payer policy, reimbursement, coding, coverage, and payment preferred • Salesforce.com CRM, Microsoft Word, and Excel proficiency preferred

🏖️ Benefits

• Inclusive work environment • Equal Opportunity Employer • Inclusive interview process and disability accommodations

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