Field Reimbursement Manager, Oncology

3 weeks ago

Portland, Oregon, United States J&J Family of Companies Full time
Job Description

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. As a Field Reimbursement Manager, Oncology, you will play a critical role in ensuring that patients have access to our innovative therapies.

Key Responsibilities
  • Educate healthcare providers on reimbursement processes, claims submissions, procedures, and coding requirements for our products.
  • Collaborate with field support team members to provide reimbursement expertise and support.
  • 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.
  • 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 to provide education and insights on access and affordability solutions.
Requirements
  • Bachelor's degree 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.
  • Ability to establish relationships, collaborate, and influence across a matrix organization.
  • Problem-solving ability to navigate challenging access scenarios.
  • Superior communication skills and efficient follow-through.
  • Experience in working with patient support HUB services.
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).

Johnson & Johnson is an Affirmative Action and 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, or protected veteran status and will not be discriminated against on the basis of disability.

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