Field Reimbursement Manager, Oncology - (MS/AR) - Johnson & Johnson HCS, Inc.

Johnson & Johnson Innovative Medicine•Hopewell Township, NJ

12d•Onsite

About The Position

Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is seeking a Field Reimbursement Manager for the Mississippi and Arkansas territory. This field-based role serves as the primary field lead for proactively educating healthcare providers and their office staff, assisting with and resolving issues related to patient access to J&J Oncology therapies. The manager spends at least 50% of their time on-site with healthcare providers, assessing education needs and facilitating collaboration with relevant stakeholders. The role supports patients as they start and remain on treatment by helping provider offices navigate reimbursement and access challenges. It requires extensive knowledge of medication access channels, including pharmacy and medical benefits, buy-and-bill, and assignment of benefit across multiple sites of care. The manager stays current on coverage, access, marketplace conditions, and stakeholder practices, adapting approved education and resources to provider needs. The position requires a bachelor’s degree, at least five years of relevant professional experience, reimbursement or account management experience in provider-office settings, expertise in pharmacy and medical benefits, and the ability to build relationships and collaborate across a matrix organization. The role involves travel throughout the territory, with up to 50% travel and occasional overnight stays, and requires permanent residence in the listed territory and a valid U.S. driver’s license.

Requirements

Bachelor’s degree; a healthcare or business/public administration field is preferred.
At least 5 years of relevant professional experience.
Account management and/or reimbursement experience in a provider-office setting, including building customer relationships.
Demonstrated expertise with 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 efficiently and promptly.
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 that complies with company standards.
Ability to engage healthcare providers mostly in person and travel up to 50%, including occasional overnight stays.
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 knowledge 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 of payer policy and reimbursement elements, 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 applying new tools over time.

Responsibilities

Proactively educate healthcare providers on reimbursement processes, claims submissions, payer procedures, and coding requirements for core and launch oncology 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 future changes.
Provide field-based reimbursement and access support, education, and problem-solving in accordance with Field Reimbursement Manager 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.
Expand 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, and provide subject-matter expertise on access and affordability solutions across payer types and plans.
Stay current on and anticipate changes in product coverage, access, marketplace conditions, and stakeholder practices; adapt delivery of approved materials accordingly.
Execute business in accordance with ethical, legal, and compliance standards, including completing required training on time.