Hybrid Field Reimbursement Manager, Oncology

at Johnson & Johnson

• Job title: Field Reimbursement Manager, Oncology
• Job type: Full Time
• Experience level: Mid level, Senior
• Salary: Not specified
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, Durham, United States

About the role

• Field Reimbursement Manager focusing on patient access to Oncology therapies in North Carolina. Working closely with healthcare providers to educate and resolve reimbursement issues.

Responsibilities

• Educate HCPs on reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations
• 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
• Collaborate with internal J&J departments such as marketing, sales, medical science, SCG, IBG, HCC, and PECS.

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 (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 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, with occasional overnight stay.
• Permanent residence in the listed territory.
• Advanced degree and/or relevant certifications in prior authorization and/or billing and coding is preferred.
• Strong market access acumen as it relates to payer approval processes and business acumen.

Benefits

• Health insurance
• 401(k) matching
• Paid time off
• Professional development