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Johnson & Johnson

Makes prescription drugs and medical devices

Field Reimbursement Manager - Oncology, Pacific Northwest

Customer SuccessPosted on Nov 9
Full-timeIn-person

About the Job

Requirements

  • A bachelor's degree, preferably in healthcare or business/public administration, is required.
  • A minimum of 5 years of relevant professional experience is required.
  • Account management and/or reimbursement experience in a provider office setting, including building strong customer relationships, is required.
  • Expertise in pharmacy and medical/buy-and-bill benefits, coding, and billing is required.
  • Reimbursement or relevant managed care experience, including revenue cycle, buy-and-bill, prior authorization, coding, and appeals processes, is required.
  • Ability to establish relationships, collaborate, and influence across a matrix organization is required.
  • Problem-solving ability to navigate challenging access scenarios and identify solutions in a timely and efficient manner is required.
  • Strong written and verbal communication skills and efficient follow-through are required.
  • Experience working with patient support hub services is required.
  • A valid U.S. driver's license and a driving record in compliance with company standards are required.
  • Ability to consistently maintain up to 50% travel is required.
  • Permanent residence in the listed territory within reasonable proximity to a major airport is required.

Responsibilities

  • Educate healthcare providers on reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations for core and launch products.
  • Collaborate with field support team members, such as sales representatives and key account managers, and serve as the reimbursement expert for the local team.
  • Address critical patient access and affordability issues with urgency.
  • Partner with managed care colleagues to understand current policies and potential future changes.
  • Conduct field-based reimbursement and access support, education, and problem-solving aligned with Field Reimbursement Manager Rules of Engagement.
  • Build 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.
  • Grow knowledge of hub and specialty distribution channels to improve practice and patient support.
  • Collaborate with internal departments, including marketing, sales, medical science, SCG, IBG, HCC, and PECS; serve as a subject matter expert on education and insights regarding 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, including timely completion of required training.
  • Maintain extensive knowledge of medication access channels, including pharmacy and medical benefits, buy-and-bill, and assignment of benefit across multiple sites of care.
  • Stay current on and anticipate changes in product coverage, access knowledge, marketplace conditions, and stakeholder practices to deliver approved materials effectively.
  • Understand and adapt to the changing healthcare ecosystem to customize resourcing and messaging for healthcare providers and their staff.

Desired Qualifications

  • An advanced business degree (MBA) or public health degree (MPH) is preferred.
  • Oncology disease-state experience is preferred.
  • An advanced degree and/or relevant certifications in prior authorization and/or billing and coding are preferred.
  • Strong market access acumen related to payer approval processes and business acumen is preferred.
  • Understanding of Medicare, Medicaid, and private payer initiatives affecting pharmaceutical and biotechnology product reimbursement is preferred.
  • Technical expertise in payer policy, including reimbursement coding, coverage, and payment, is preferred.
  • Competence using Salesforce.com CRM, Microsoft Word, and Excel is preferred.
  • Commitment to learning emerging technologies such as artificial intelligence through exploration and iteration, and applying new tools over time, is preferred.

About the Company

Johnson & Johnson

Makes prescription drugs and medical devices

Johnson & Johnson develops prescription medicines and makes medical devices for hospitals, and unlike most big drugmakers, it runs both businesses under one roof. In 2015, its Darzalex became the first antibody drug approved for multiple myeloma, a blood cancer. Its medicines treat cancer, immune diseases such as psoriasis, and mental illnesses such as depression, and patented drugs bring in most of its sales. Its MedTech unit makes heart pumps, catheters that treat irregular heartbeats, surgical sutures, and Acuvue contact lenses. It was founded in 1886 to make sterile surgical dressings, is based in New Brunswick, New Jersey, and spun off its consumer brands, such as Tylenol and Band-Aid, as Kenvue in 2023.

Company size
10,001+
Company stage
IPO
Headquarters
New Brunswick, NJ
Founded
1886

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