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Field Reimbursement Manager, Oncology
4 weeks ago
At J&J Family of Companies, we are committed to helping people live full and healthy lives. We focus on treating, curing, and preventing some of the most devastating and complex diseases of our time. Our Patient Engagement and Customer Solutions (PECS) team is seeking a highly skilled and experienced Field Reimbursement Manager to join our Northwest Territory team.
Key Responsibilities:- Educate healthcare providers on reimbursement processes, claims submissions, and coding requirements for our oncology therapies.
- Collaborate with field support team members to provide reimbursement expertise and support to local teams.
- 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 our 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, including marketing, sales, medical science, SCG, IBG, HCC, and PECS.
- Bachelor's degree in healthcare or business/public administration, with an advanced degree or relevant certifications preferred.
- Minimum of 5 years of relevant professional experience, with account management and/or reimbursement experience working in the provider office setting.
- Demonstrated expertise with both 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 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.
- Permanent residence in the listed territory.
