Field Reimbursement Manager (Oncology)– (Dakotas Territory) – Johnson & Johnson
Johnson & Johnson, Saint Paul, MN, United States
Johnson & Johnson is seeking a Field Reimbursement Manager for the Dakotas territory (Minnesota, North Dakota, South Dakota).
About Oncology Our Oncology team is focused on the elimination of cancer by discovering new pathways and modalities to find treatments and cures. We lead where medicine is going and need innovators with an unwavering commitment to results.
Job Description 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 up to 50% of the time on site at HCP offices, assessing their education needs, and facilitating collaboration with various stakeholders.
Primary Responsibilities
Educate HCPs on reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations 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 (e.g., 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, including pharmacy and medical benefit (buy & bill and/or assignment of benefit) 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.
Qualifications Required
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 relationships.
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 written and verbal communication skills and efficient follow‑through.
Experience working with patient support hub services.
Valid U.S. 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 or certifications in prior authorization and/or billing and coding.
Advanced market access acumen related to payer approval processes and business acumen.
Understanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement of pharmaceutical and biotechnology products.
Expertise in payer policy, including all elements of reimbursement (coding, coverage, and payment).
Proficiency with Salesforce.com CRM, Microsoft Word, and Excel.
Salary:
$102,000.00 – $177,100.00 per year.
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.
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About Oncology Our Oncology team is focused on the elimination of cancer by discovering new pathways and modalities to find treatments and cures. We lead where medicine is going and need innovators with an unwavering commitment to results.
Job Description 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 up to 50% of the time on site at HCP offices, assessing their education needs, and facilitating collaboration with various stakeholders.
Primary Responsibilities
Educate HCPs on reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations 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 (e.g., 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, including pharmacy and medical benefit (buy & bill and/or assignment of benefit) 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.
Qualifications Required
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 relationships.
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 written and verbal communication skills and efficient follow‑through.
Experience working with patient support hub services.
Valid U.S. 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 or certifications in prior authorization and/or billing and coding.
Advanced market access acumen related to payer approval processes and business acumen.
Understanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement of pharmaceutical and biotechnology products.
Expertise in payer policy, including all elements of reimbursement (coding, coverage, and payment).
Proficiency with Salesforce.com CRM, Microsoft Word, and Excel.
Salary:
$102,000.00 – $177,100.00 per year.
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.
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