Field Reimbursement Access Manager Oncology (Philadelphia/South Jersey)

Brighter Signals; Cherry Hill Township (NJ); On-site; USD 102,000 - 177,000; Full time

Benefits offered by this job

Retirement plan

Paid time off

Job summary

Johnson & Johnson Innovative Medicine’s PECS team seeks a Field Reimbursement Manager for the Philadelphia/South Jersey territory. The FRM educates healthcare providers on reimbursement, resolves access issues, and collaborates with sales and PHC teams to support patient access to oncology therapies.

This role involves substantial on-site work with HCPs and travel up to 75%. Strong knowledge of payer policies and prior authorizations is required, along with a bachelor's degree and 5+ years of

Qualifications

• Bachelor’s degree in healthcare or business/public administration; MBA/MPH preferred.
• Minimum of 5 years of relevant professional experience.
• Experience in account management and reimbursement in provider offices.
• Expertise with pharmacy/medical buy-and-bill, coding, billing, and authorizations.
• Reimbursement or managed care experience and ability to influence across teams.
• Strong communication and relationship-building skills with HUB services.

Responsibilities

• Educate HCPs on reimbursement processes, claims submissions, and payer coding.
• Collaborate with field support teams and act as reimbursement expert for the local team.
• Address access and affordability issues for patients with urgency.
• Partner with managed care colleagues to understand policies and changes.
• Perform field-based reimbursement and access support and problem-solving.
• Build trust-based relationships with Oncology customers and manage territory logistics.
• Stay current on market dynamics, coverage, and coding requirements.
• Collaborate with marketing, sales, medical science, and PECS on access initiatives.
• Adhere to ethical, legal and compliant standards and complete required training.

Skills

Account Management

Reimbursement

Communication

Problem Solving

Healthcare experience

Education

Bachelor’s degree

MBA or MPH preferred

Tools

Salesforce CRM

Microsoft Word

Excel

Job description

Job Function

Pharmaceutical Sales

Job Sub Function

Sales - Pharm (No Commission)

Job Category

Professional

All Job Posting Locations

Camden, New Jersey, United States, Cherry Hill, New Jersey, United States of America, Philadelphia, Pennsylvania, United States

About Innovative Medicine

Our expertise in Innovative Medicine is informed and inspired by patients, whose insights fuel our science-based advancements. Visionaries like you work on teams that save lives by developing the medicines of tomorrow.

Join us in developing treatments, finding cures, and pioneering the path from lab to life while championing patients every step of the way.

Learn more at https://www.jnj.com/innovative-medicine

Job Description

Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager for the Philadelphia/South Jersey territory.

An important aspect of patient unmet need includes helping them start and stay on their medicine for the best chance at treatment success. The Patient Engagement and Customer Solutions (PECS) organization serves patients, during their treatment journey with Janssen therapies, to help overcome challenges to fulfillment, onboarding, and adherence.

The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs), and their office staff, with respect to patient access to J&J Oncology therapies. This role involves investing time (up to 50%) on-site with HCPs, assessing their education needs and facilitating collaboration with various stakeholders.

A Day in the Life

Every patient’s healthcare experience is unique - shaped by personal experiences and beliefs, the presence or absence of support networks, provider and payer dynamics, and socioeconomic factors. For many patients, the decision to start or stop a treatment is overwhelming. J&J recognizes this, and wants to create an experience that is personalized, helpful, and hopeful.

Primary Responsibilities

• Educate HCPs on reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, etc.) for core and launch products.
• Collaborate with field support team members such as sales representatives and key account managers and serve as reimbursement expert for the local team
• Act with a sense of urgency to address critical access and affordability issues for patients
• Partner with managed care colleagues to understand current policies and potential future changes
• Conduct field-based reimbursement and access support, education and creative problem-solving aligned to FRM Rules of Engagement
• Build strong, trust-based relationships with customers in all assigned Oncology accounts
• Manage territory logistics, routing, and account business planning
• Maintain and grow knowledge of national, regional, local, and account market dynamics including coverage and coding requirements
• Grow the knowledge of hub and specialty distribution channels to improve practice and patient support needs
• Collaborate with internal J&J departments such as marketing, sales, medical science, SCG, IBG, HCC, and PECS. Serve as subject matter expert regarding education and insights on access and affordability solutions across multiple payer types and plans (i.e., Medicare, Medicaid Managed Care, Commercial).
• Execute business in accordance with the highest ethical, legal, and compliance standards, including timely and successful completion of all required training

Market Access Expertise

• Extensive knowledge of medication access channels (i.e., pharmacy and medical benefit including buy & bill and/or assignment of benefit (AOB) across multiple sites of care
• Remains current on and anticipates changes in product coverage and access knowledge, marketplace conditions, and stakeholder practices to deliver the most effective delivery of approved materials
• Understands and adapts to the changing healthcare ecosystem to customize resource and messaging to HCPs and HCP staff

Required Qualifications

• Bachelor’s degree (preferably in healthcare or business/public administration). An advanced business degree (MBA), or public health (MPH)) is preferred.
• 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 benefit design, coding, billing, prior authorizations, office operations, and appeals processes
• Reimbursement or relevant managed care experience (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 identifies solutions in a timely and efficient manner
• Superior communication skills (written and verbal) and efficient follow-through
• Experience in 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

Preferred Qualifications

• Oncology disease state experience
• Advanced degree and/or relevant certifications in prior authorization and/or billing and coding
• Strong market access acumen as it relates to payer approval processes and business acumen
• Understanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement of pharmaceutical and biotechnology products
• Excellent technical knowledge and expertise in payer policy, including all elements of reimbursement (coding, coverage, and payment) is preferred
• Demonstrated competence with salesforce.com CRM use, Microsoft Word, and Excel
• Demonstrated commitment to learning emerging technologies, such as AI, through exploration, iteration, and apply new tools over time

This role involves travel up to 75 % of the time.

Johnson & Johnson is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by federal, state or local law. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act.

Johnson & Johnson is committed to providing an interview process that is inclusive of our applicants’ needs. If you are an individual with a disability and would like to request an accommodation, external applicants please contact us via https://www.jnj.com/contact-us/careers and internal employees contact AskGS to be directed to your accommodation resource.

Required Skills

• Account Management
• Coaching
• Competitive Landscape Analysis
• Compliance Management
• Consulting
• Cross-Functional Collaboration
• Escalation Management
• Fact-Based Decision Making
• Finance and Accounting Platforms
• Financial Reports
• Market Access Reimbursement
• Market Opportunity Assessment
• Performance Measurement
• Pricing Strategies
• Process Improvements
• Strategic Thinking
• Technical Credibility

Preferred Skills

• Account Management
• Coaching
• Competitive Landscape Analysis
• Compliance Management
• Consulting
• Cross-Functional Collaboration
• Escalation Management
• Fact-Based Decision Making
• Finance and Accounting Platforms
• Financial Reports
• Market Access Reimbursement
• Market Opportunity Assessment
• Performance Measurement
• Pricing Strategies
• Process Improvements
• Strategic Thinking
• Technical Credibility

The anticipated base pay range for this position is :

$102,000.00 - $177,100.00

Additional Description For Pay Transparency

Subject to the terms of their respective plans, employees are eligible to participate in the Company’s consolidated retirement plan (pension) and savings plan (401(k)).

Subject To The Terms Of Their Respective Policies And Date Of Hire, Employees Are Eligible For The Following Time Off Benefits:

• 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

For additional general information on Company benefits, please go to: - https://www.careers.jnj.com/employee-benefits