Field Reimbursement Manager, Oncology - (Austin, TX) - Johnson & Johnson HCS, In
Johnson & Johnson, Austin, TX, United States
Field Reimbursement Manager, Oncology – Austin, TX
Johnson & Jonsion Innovative Medicine’s Patient Engagement and Customer Solutions team is recruiting for a field‑based position in the Austin, TX territory, which includes Temple, Round Rock, Bryan, College Station, Waco, Killeen, and Conroe.
Job Function
Market Access
Job Sub Function
Reimbursement
Job Category
Professional
Responsibilities
Educate healthcare providers 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, serving as the 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 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, serving as a subject‑matter expert regarding education and insights on access and affordability solutions across multiple payer types and plans.
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 and bill, and 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.
Required Qualifications
Bachelor’s degree (preferably in healthcare or business/public administration); an advanced business degree (MBA) or public health (MPH) is preferred.
Minimum of five years of relevant professional experience.
Account management and/or reimbursement experience working in the provider office setting, building strong customer relationships.
Demonstrated expertise with both pharmacy and medical buy and 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 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 with occasional overnight stays.
Permanent residence in the listed territory.
Preferred Qualifications
Oncology disease‑state experience.
Advanced degree and/or relevant certifications in prior authorization and/or billing and coding.
Strong 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.
Excellent technical knowledge and expertise in payer policy, including all elements of reimbursement (coding, coverage, and payment).
Demonstrated competence with Salesforce.com, Microsoft Word, and Excel.
Skills
Account Management
Coaching
Competitive Landscape Analysis
Compliance Management
Consulting
Cross‑Functional Collaboration
Escalation Management
Fact‑Based Decision Making
Finance and Accounting Platforms
Financial Reports
Market Access Reimbursement
Market Opportunity Assessment
Performance Measurement
Pricing Strategies
Process Improvements
Strategic Thinking
Technical Credibility
Accommodations
If you are an individual with a disability and would like to request an accommodation, contact us at https://www.jnj.com/contact-us/careers.
Johnson & Jonsion 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.
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Johnson & Jonsion Innovative Medicine’s Patient Engagement and Customer Solutions team is recruiting for a field‑based position in the Austin, TX territory, which includes Temple, Round Rock, Bryan, College Station, Waco, Killeen, and Conroe.
Job Function
Market Access
Job Sub Function
Reimbursement
Job Category
Professional
Responsibilities
Educate healthcare providers 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, serving as the 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 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, serving as a subject‑matter expert regarding education and insights on access and affordability solutions across multiple payer types and plans.
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 and bill, and 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.
Required Qualifications
Bachelor’s degree (preferably in healthcare or business/public administration); an advanced business degree (MBA) or public health (MPH) is preferred.
Minimum of five years of relevant professional experience.
Account management and/or reimbursement experience working in the provider office setting, building strong customer relationships.
Demonstrated expertise with both pharmacy and medical buy and 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 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 with occasional overnight stays.
Permanent residence in the listed territory.
Preferred Qualifications
Oncology disease‑state experience.
Advanced degree and/or relevant certifications in prior authorization and/or billing and coding.
Strong 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.
Excellent technical knowledge and expertise in payer policy, including all elements of reimbursement (coding, coverage, and payment).
Demonstrated competence with Salesforce.com, Microsoft Word, and Excel.
Skills
Account Management
Coaching
Competitive Landscape Analysis
Compliance Management
Consulting
Cross‑Functional Collaboration
Escalation Management
Fact‑Based Decision Making
Finance and Accounting Platforms
Financial Reports
Market Access Reimbursement
Market Opportunity Assessment
Performance Measurement
Pricing Strategies
Process Improvements
Strategic Thinking
Technical Credibility
Accommodations
If you are an individual with a disability and would like to request an accommodation, contact us at https://www.jnj.com/contact-us/careers.
Johnson & Jonsion 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.
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