Oncology Field Reimbursement Manager – Patient Access Leader

Johnson & Johnson Co.; Denton (TX); On-site; USD 105,000 - 182,000; Full time

Job summary

Johnson & Johnson Innovative Medicine’s PECS team is seeking a Field Reimbursement Manager to cover the North Texas/Oklahoma territory. This field-based role requires solid account management and payer expertise to support reimbursement for oncology products.

You will educate HCPs, collaborate across a matrix organization, and travel up to 50% to engage customers in Plano, Sherman, OKC and Ardmore. Residence in the territory is required, along with a focus on delivering access solutions that

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 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 engage HCPs mostly in person, maintain up to 50% travel, with occasional overnight stay
• Permanent residence in the listed territory

Responsibilities

• Proactively educate HCPs on reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, etc.) for core and launch oncology 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.
• 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.

Skills

Account Management

Reimbursement experience

Relationship building

Communication skills

Cross-functional collaboration

Salesforce CRM

Microsoft Word

Excel

Education

Bachelor's degree (healthcare or business/public administration)

MBA or MPH preferred

Tools

Salesforce CRM

Microsoft Word

Excel

Job description

Johnson & Johnson Innovative Medicine’s PECS team is seeking a Field Reimbursement Manager to cover the North Texas/Oklahoma territory. This field-based role requires solid account management and payer expertise to support reimbursement for oncology products.

You will educate HCPs, collaborate across a matrix organization, and travel up to 50% to engage customers in Plano, Sherman, OKC and Ardmore. Residence in the territory is required, along with a focus on delivering access solutions that