Field Reimbursement Manager, Oncology

Job not on LinkedIn

🔥 7 minutes ago

🌲 North Carolina, South Carolina, +1 more states – Remote

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⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

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👻 Ghost score 10%

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Logo of Johnson & Johnson

Johnson & Johnson

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 related to patient access to J&J Oncology therapies • Educate healthcare providers and office staff 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 • Conduct 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 • Develop knowledge of hub and specialty distribution channels • Provide subject-matter expertise on access and affordability solutions across Medicare, Medicaid Managed Care, and commercial payer plans • Execute business according to ethical, legal, and compliance standards • Spend up to 50% of time on-site with healthcare providers

🎯 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 • 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 • Superior written and verbal communication skills • Experience working with patient support HUB services • 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 within reasonable proximity to a major airport • 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

• Inclusive work environment • Equal Opportunity Employer • Accommodation support during the interview process

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