Field Reimbursement Manager, Oncology - WV, TN, KY Territory

Jnjmedtech; Roanoke (VA); On-site; USD 75,000 - 115,000; Full time

Job summary

An established industry player is seeking a dedicated Field Reimbursement Manager to enhance patient access to oncology therapies across a diverse territory. This role is pivotal in educating healthcare providers on reimbursement processes, collaborating with sales teams, and addressing critical access issues. With a strong focus on patient experience and support, the position offers a unique opportunity to make a significant impact in the healthcare landscape. The ideal candidate will possess a blend of healthcare knowledge, communication skills, and problem-solving abilities, making this an exciting opportunity for those passionate about improving patient outcomes in oncology.

Qualifications

• 5+ years of experience in account management or reimbursement in healthcare.
• Strong knowledge of coding, billing, and reimbursement processes.

Responsibilities

• Educate healthcare providers on reimbursement processes and coding requirements.
• Build strong relationships with oncology accounts to enhance patient access.

Skills

Reimbursement Processes

Account Management

Healthcare Knowledge

Communication Skills

Problem-Solving

Education

Bachelor’s Degree in Healthcare or Business

MBA or MPH

Tools

Salesforce.com CRM

Microsoft Word

Microsoft Excel

Job description

Field Reimbursement Manager, Oncology - WV, TN, KY Territory

Join to apply for the Field Reimbursement Manager, Oncology - WV, TN, KY Territory role at Johnson & Johnson MedTech

Field Reimbursement Manager, Oncology - WV, TN, KY Territory

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At Johnson & Johnson,we believe health is everything. Our strength in healthcare innovation empowers us to build aworld where complex diseases are prevented, treated, and cured,where treatments are smarter and less invasive, andsolutions are personal.Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity.Learn more at https://www.jnj.com

Job Function:

Market Access

Job Sub Function:

Reimbursement

Job Category:

Professional

All Job Posting Locations:

Charleston, West Virginia, United States, Charlottesville, Virginia, United States, Chattanooga, Tennessee, United States, Knoxville, Tennessee, United States, Lexington, Kentucky, United States, Louisville, Kentucky, United States, Nashville, Tennessee, United States, Roanoke, Virginia, United States of America, Titusville, New Jersey, United States of America

Job Description:

Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is recruiting for an Account Field Reimbursement Manager for the field-based position. This territory includes WV, TN, KY, VA and IN.

PECS is committed to setting the standard on Patient Experience (Px), building more personalized, seamless, and supportive experiences to help patients start and stay on treatments across the portfolio.

Job Description:

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, on-boarding, 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:

Primary responsibilities include the following. Other duties may be assigned.

• 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 resourcing and messaging to HCPs and HCP staff
  
  

Required

Qualifications - External

• 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 benefits, coding, and billing
• 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
• Ability to consistently maintain up to 50% travel
• Permanent residence in the listed territory
  
  

Preferred

• 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
  
  

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 and 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, please email the Employee Health Support Center ([e-mail]) or contact AskGS to be directed to your accommodation resource.

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Finance and Sales

• Industries

  Hospitals and Health Care

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