Field Reimbursement Manager, Oncology - (Austin, TX) - Johnson & Johnson HCS, Inc.

Johnson & Johnson Innovative Medicine•Waco, TX

22h

About The Position

The Field Reimbursement Manager (FRM) position is a field-based role within Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team, specifically for the Oncology sector in the Austin, TX territory (including Temple, Round Rock, Bryan, College Station, Waco, Killeen, and Conroe, TX). The PECS team aims to enhance the Patient Experience (Px) by providing personalized, seamless, and supportive experiences to help patients initiate and continue treatments across the portfolio. The FRM serves as the primary field-based lead, offering education, assistance, and issue resolution to healthcare providers (HCPs) and their staff regarding patient access to J&J Oncology therapies. This role requires a minimum of 50% on-site engagement with HCPs to assess their educational needs and facilitate collaboration with various stakeholders. The overarching goal is to address patient unmet needs by overcoming challenges related to treatment fulfillment, on-boarding, and adherence, recognizing the unique and often overwhelming nature of each patient's healthcare journey.

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, building strong customer relationship.
Demonstrated expertise with both 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.

Nice To Haves

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) is preferred.
Demonstrated competence with salesforce.com CRM use, Microsoft Word, and Excel.

Responsibilities

Educate HCPs on reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, etc.) 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 (i.e., 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.