Field Reimbursement Manager (Oncology)– (Pacific Northwest) – Johnson & Johnson HCS, Inc.

Johnson & Johnson Innovative Medicine•Hopewell Township, NJ

1d•$105,000 - $181,700•Onsite

About The Position

Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is hiring a field-based Genitourinary (GU) Account Field Reimbursement Manager for the Pacific Northwest territory, which includes Washington, Oregon, Nevada, Idaho, Wyoming, Alaska, and western Montana. The GU FRM team supports large urology group practices. The role serves as the primary field-based lead for educating healthcare providers and office staff, assisting with access issues, and resolving challenges related to patient access to Johnson & Johnson Oncology therapies. The position involves spending up to 50% of time onsite with healthcare providers to assess educational needs and coordinate with stakeholders. The PECS organization supports patients throughout their treatment journey, helping address challenges with fulfillment, onboarding, and adherence so patients can start and remain on treatment. The FRM provides reimbursement and access education, practical assistance, and problem-solving to support patient access and treatment experiences. The role also maintains market-access expertise, adapts to changes in coverage and healthcare practices, and delivers approved materials and support consistent with FRM Rules of Engagement. The position requires a bachelor’s degree and at least five years of relevant professional experience. Candidates should have provider-office account management and/or reimbursement experience, expertise with pharmacy and medical/buy-and-bill benefits, coding and billing, and experience with reimbursement or managed-care processes. The role also requires strong relationship-building, collaboration, communication, problem-solving, and follow-through skills; experience with patient support hub services; a valid U.S. driver’s license; the ability to travel consistently up to 50%; and permanent residence in the territory within reasonable proximity to a major airport. Oncology experience, an advanced degree or relevant certifications, and specified technology and market-access expertise are preferred.

Requirements

Bachelor’s degree; healthcare or business/public administration is preferred.
At least five years of relevant professional experience.
Account management and/or reimbursement experience in a provider-office setting, including building strong 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 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 a driving record that complies with company standards.
Ability to maintain up to 50% travel.
Permanent residence in the listed territory within reasonable proximity to a major airport.
Extensive knowledge of medication access channels, including pharmacy and medical benefits and buy-and-bill and/or assignment of benefit across multiple sites of care.

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 reimbursement of pharmaceutical and biotechnology products.
Technical expertise in payer policy and all elements of 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 applying new tools over time.

Responsibilities

Educate healthcare providers on reimbursement processes, claims submissions, procedures, and payer coding requirements for core and launch products.
Collaborate with field support team members, including sales representatives and key account managers, and serve as the local team’s reimbursement expert.
Respond urgently to critical patient access and affordability issues.
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 across assigned Oncology accounts.
Manage territory logistics, routing, and account business planning.
Maintain and expand 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 education and insights concerning 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.
Stay current on and anticipate changes in product coverage, access knowledge, marketplace conditions, and stakeholder practices, and deliver approved materials effectively.
Adapt to changes in the healthcare ecosystem and 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.
Eligibility to participate in the long-term incentive program.
Vacation: 120 hours per calendar year.
Sick time: 40 hours per calendar year; 48 hours for Colorado residents; 56 hours for Washington residents.
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.