Field Reimbursement Manager – Oncology

Job not on LinkedIn

🔥 15 hours ago

🌽 Illinois, Missouri – Remote

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💵 $102k - $177.1k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

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👻 Ghost score 0%

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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 J&J Oncology therapies • Invest up to 50% of time on-site with healthcare providers and assess their education needs • Facilitate collaboration among healthcare providers, office staff, and internal stakeholders • 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 • Address critical patient access and affordability issues with urgency • Provide 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 market dynamics, coverage, and coding requirements • Develop knowledge of hub and specialty distribution channels to improve practice and patient support • Collaborate with Marketing, Sales, Medical Science, SCG, IBG, HCC, and PECS departments • Serve as subject matter expert 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 • Monitor product coverage, access conditions, marketplace changes, and stakeholder practices • Customize resources and messaging for HCPs and HCP 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 working in the provider office setting, building strong customer relationship • Demonstrated expertise with both 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 driving record in compliance with company standards • Ability to consistently maintain up to 50% travel • 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 with Salesforce.com CRM, Microsoft Word, and Excel preferred • Commitment to learning emerging technologies such as AI preferred

🏖️ Benefits

• Retirement plan (pension) • Savings plan (401(k)) • Long-term incentive program • Vacation –120 hours per calendar year • Sick time - 40 hours per calendar year; for employees who reside in the State of Colorado –48 hours per calendar year; for employees who reside in the State of Washington –56 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 period10 days • Volunteer Leave – 32 hours per calendar year • Military Spouse Time-Off – 80 hours per calendar year • Inclusive interview process and disability accommodations

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