Field Reimbursement Manager, Oncology

Job not on LinkedIn

🔥 15 minutes ago

🏛️ District of Columbia, Maryland, +1 more states – Remote

🏛️ District of Columbia – Remote 🦀 Maryland – Remote ☕ Washington – Remote

💵 $102k - $177.1k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Johnson & Johnson

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

💊 Pharmaceuticals

🧬 Biotechnology

Healthcare • Pharmaceuticals • Biotechnology

<Johnson & Johnson> is a global healthcare company that researches, develops, manufactures and markets pharmaceuticals, medical devices and consumer health products. The company focuses on innovative medicines and therapies across oncology, immunology, neuroscience and cardiopulmonary areas, and develops MedTech solutions in cardiovascular, orthopaedics, surgery and vision. Johnson & Johnson also engages in health & wellness education, large-scale manufacturing, investor activities and global social-impact initiatives.

📋 Description

• 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 • Invest up to 50% of time on-site with healthcare providers, assess education needs, and facilitate stakeholder collaboration • Collaborate with sales representatives, key account managers, managed care colleagues, and internal J&J departments • 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 market dynamics, coverage, and coding requirements • Develop knowledge of hub and specialty distribution channels • Serve as a subject matter expert on access and affordability solutions across Medicare, Medicaid Managed Care, Commercial, and other payer types • Execute business according to ethical, legal, and compliance standards and complete required training • Monitor product coverage, access knowledge, marketplace conditions, and stakeholder practices • Customize resources and messaging for healthcare providers and staff

🎯 Requirements

• Bachelor’s degree required, preferably in healthcare or business/public administration • Minimum of 5 years of relevant professional experience • Account Management and/or Reimbursement experience working in a 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 timely, efficient solutions • 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 compliant 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 • Understanding of Medicare, Medicaid, and private payer initiatives affecting pharmaceutical and biotechnology reimbursement • Salesforce.com CRM, Microsoft Word, and Excel proficiency 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; 48 hours for Colorado residents; 56 hours for 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 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