Field Reimbursement Access Manager Oncology (Philadelphia/South Jersey)

Johnson & Johnson Innovative Medicine•Hopewell Township, NJ

4d•$102,000 - $177,100

About The Position

Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is hiring a Field Reimbursement Manager for the Philadelphia/South Jersey territory. The role serves as the primary field-based lead for educating healthcare providers and their office staff, assisting with reimbursement, and resolving issues related to patient access to J&J Oncology therapies. The manager assesses provider education needs, facilitates collaboration with stakeholders, and spends up to 50% of the time on-site with healthcare providers. The role also involves travel up to 75% of the time. The position supports patients in starting and remaining on therapy by helping providers navigate access and affordability challenges. It requires knowledge of pharmacy and medical-benefit access channels, including buy-and-bill and assignment of benefit, and the ability to adapt education and approved resources to changing payer policies, marketplace conditions, and provider practices. The manager works with internal teams and external customers while conducting business according to legal, ethical, and compliance standards.

Requirements

Bachelor’s degree; healthcare or business/public administration preferred.
At least 5 years of relevant professional experience.
Account management and/or reimbursement experience in a provider-office setting, including building strong customer relationships.
Expertise in pharmacy and medical/buy-and-bill benefit design, coding, billing, prior authorizations, office operations, and appeals.
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 timely, efficient solutions.
Strong written and verbal communication skills and efficient follow-through.
Experience working with patient support hub services.
Valid U.S. driver’s license and driving record meeting company standards.
Permanent residence in the listed territory.

Nice To Haves

Advanced business degree (MBA) or public health degree (MPH).
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.
Technical expertise in payer policy and reimbursement, including coding, coverage, and payment.
Competence using Salesforce.com CRM, Microsoft Word, and Excel.
Commitment to learning emerging technologies such as AI through exploration, iteration, and ongoing use of new tools.

Responsibilities

Educate healthcare providers on reimbursement processes, claims submissions, procedures, and payer coding requirements for core and launch products.
Collaborate with field support colleagues, including sales representatives and key account managers, and serve as the local team’s reimbursement expert.
Address critical patient access and affordability issues with a sense of urgency.
Partner with managed care colleagues to understand current policies and potential future changes.
Provide field-based reimbursement and access support, education, and problem-solving in accordance with FRM Rules of Engagement.
Build strong, trust-based relationships with customers in 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.
Build knowledge of hub and specialty distribution channels to improve support for practices and patients.
Collaborate with internal departments, including marketing, sales, medical science, SCG, IBG, HCC, and PECS; provide expertise and insights on access and affordability solutions across payer types and plans.
Conduct business in accordance with ethical, legal, and compliance standards and complete required training on time.
Stay current on and anticipate changes in product coverage, access knowledge, marketplace conditions, and stakeholder practices to deliver approved materials effectively.
Adapt to changes in the healthcare ecosystem and customize resources and messaging for healthcare providers and their staff.

Benefits

Company consolidated retirement plan (pension) and savings plan (401(k)), subject to plan terms.
Vacation: 120 hours per calendar year, subject to policy and hire date.
Sick time: 40 hours per calendar year, subject to policy and hire date.
Holiday pay, including floating holidays: 13 days per calendar year.
Work, Personal and Family Time: up to 40 hours per calendar year.
Parental leave: 480 hours within one year of a child’s birth, adoption, or foster care placement.
Bereavement leave: 240 hours for an immediate family member and 40 hours for an extended family member per calendar year.
Caregiver leave: 80 hours in a 52-week rolling period.
Volunteer leave: 32 hours per calendar year.
Military spouse time-off: 80 hours per calendar year.