Field Reimbursement Access Manager Oncology (Philadelphia/South Jersey)

Johnson & Johnson•Camden, NJ

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 access issues, and resolving barriers to patient access to J&J Oncology therapies. The position includes spending up to 50% of time on-site with healthcare providers to assess education needs and facilitate collaboration with stakeholders. The role also involves travel up to 75% of the time. The Field Reimbursement Manager supports patients’ ability to start and remain on prescribed therapies by helping provider offices navigate access, reimbursement, and affordability challenges. The manager provides field-based education and problem-solving, develops trusted customer relationships, shares access insights, and collaborates with internal teams and external stakeholders. The role requires work in accordance with applicable ethical, legal, and compliance standards.

Requirements

Bachelor’s degree; a degree in healthcare or business/public administration is 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.
Demonstrated expertise in pharmacy and medical/buy-and-bill benefit design, coding, billing, prior authorizations, office operations, and appeals processes.
Reimbursement or relevant managed care experience, including revenue cycle, buy-and-bill, prior authorization, coding, and appeals processes.
Ability to build 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 effective follow-through.
Experience working with patient support hub services.
Valid U.S. driver’s license and driving record that complies with 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 regarding payer approval processes and business acumen.
Understanding of Medicare, Medicaid, and private payer initiatives affecting pharmaceutical and biotechnology product reimbursement.
Technical expertise in payer policy, including reimbursement coding, coverage, and payment.
Experience with Salesforce.com CRM, Microsoft Word, and Excel.
Commitment to learning emerging technologies, such as AI, through exploration, iteration, and applying new tools over time.

Responsibilities

Educate healthcare providers on payer reimbursement processes, claims submissions, procedures, and coding requirements for core and launch products.
Collaborate with sales representatives, key account managers, and other field support team members, serving as the local team’s reimbursement expert.
Address critical patient access and affordability issues with urgency.
Partner with managed care colleagues to understand current policies and potential policy 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.
Develop knowledge of hub and specialty distribution channels to improve support for practices and patients.
Collaborate with internal J&J departments, including marketing, sales, medical science, SCG, IBG, HCC, and PECS.
Serve as a subject matter expert on access and affordability solutions across payer types and plans, including Medicare, Medicaid Managed Care, and commercial plans.
Conduct business in accordance with ethical, legal, and compliance standards and complete required training on time.
Keep 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 to tailor 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 applicable policy and hire date.
Sick time: 40 hours per calendar year, with stated variations for employees residing in Colorado or Washington.
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 the birth, adoption, or foster care of a child.
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.