Field Reimbursement Manager, Oncology - (North TX/OK) - Patient Engagement & Customer Solution (PECS)
Johnson & Johnson Innovative Medicine
Summary
Johnson & Johnson Innovative Medicine's Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager for the North Texas/Oklahoma territory. This is a field-based position where the territory includes Plano, TX; Sherman, TX; Oklahoma City, OK; and Ardmore, OK.
Job description
About the Role
Johnson & Johnson Innovative Medicine's Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager for the North Texas/Oklahoma territory. This is a field-based position where the territory includes Plano, TX; Sherman, TX; Oklahoma City, OK; and Ardmore, OK.
The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for proactive education, assistance, and issue resolution with healthcare providers (HCPs), and their office staff, with respect to patient access to J&J Oncology therapies. This role involves investing time (minimum 50%) on-site with HCPs, assessing their education needs and facilitating collaboration with various stakeholders.
Primary Responsibilities
- Proactively educate HCPs on reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations for core and launch oncology 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
Market Access Expertise
- Extensive knowledge of medication access channels (i.e., pharmacy and medical benefit including buy & bill and/or assignment of benefit (AOB) across multiple sites of care
- Remains current on and anticipates changes in product coverage and access knowledge, marketplace conditions, and stakeholder practices
- Understands and adapts to the changing healthcare ecosystem to customize resourcing and messaging to HCPs and HCP staff
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 relationships
- 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 engage HCPs mostly in person, maintain up to 50% travel, with occasional overnight stay
- Permanent residence in the listed territory
Benefits
- Health Insurance
- Retirement Plan
- 401(k)
- Long-term Incentive Program
- Vacation
- Sick Time
- Holiday Pay
- Parental Leave
- Bereavement Leave
- Caregiver Leave
- Volunteer Leave
- Military Spouse Time-Off
Company overview
Johnson & Johnson Innovative Medicine is the pharmaceutical division of Johnson & Johnson, leading the way in medical innovation with a relentless focus on bringing transformational treatments to patients worldwide. The company applies rigorous science and compassion to address the most complex diseases of our time, developing groundbreaking medicines across key therapeutic areas including oncology, immunology, neuroscience, and cardiopulmonary medicine. With deep expertise and global reach, Johnson & Johnson Innovative Medicine reimagines how devastating diseases are treated and cured, delivering hope and better care for millions of patients and their families. The organization pioneers the path from laboratory research to clinical application, championing patients every step of the way while maintaining an unwavering commitment to scientific excellence and patient-centered innovation.