Johnson & Johnson MedTech
Field Reimbursement Manager, Oncology (San Francisco)
Johnson & Johnson MedTech, San Jose, California, United States, 95199
Overview
Field Reimbursement Manager, Oncology (San Francisco) – Johnson & Johnson MedTech. This role is a field-based position in the San Francisco territory. The PECS team serves patients during their treatment journey to help overcome challenges to fulfillment, onboarding, and adherence. Job Description
An important aspect of patient unmet need includes helping patients start and stay on their medicine for the best chance at treatment success. The FRM is the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs) and their office staff regarding patient access to J&J Oncology therapies. This role involves investing time (up to 50%) on-site with HCPs, assessing their education needs, and facilitating collaboration with various stakeholders. Join us in developing treatments, finding cures, and pioneering the path from lab to life while championing patients every step of the way. Learn more at https://www.jnj.com/innovative-medicine Responsibilities occur within the Patient Engagement and Customer Solutions (PECS) organization, which supports patients during their treatment journey with Janssen therapies to help overcome challenges to fulfillment, onboarding, and adherence. A Day in the Life: Every patient’s healthcare experience is unique. J&J aims to create a personalized, helpful, and hopeful experience for patients starting or continuing treatment. Primary Responsibilities
Educate HCPs on reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, etc.) for core and launch products. Collaborate with field support team members (e.g., sales representatives, key account managers) and serve as reimbursement expert for the local team. Address critical access and affordability issues for patients with a sense of urgency. 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 knowledge of hub and specialty distribution channels to improve practice and patient support needs. Collaborate with internal J&J departments (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 (e.g., 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 (pharmacy and medical benefit, including buy & bill and/or assignment of benefit across multiple sites of care). Stay current on changes in product coverage and access knowledge, marketplace conditions, and stakeholder practices to deliver effective materials. Understand and adapt to the changing healthcare ecosystem to customize resourcing and messaging to HCPs and HCP staff. Qualifications
REQUIRED
Bachelor’s degree (preferably in healthcare or business/public administration). An advanced business degree (MBA) or public health (MPH) is preferred. Minimum of 5 years of relevant professional experience. Account Management and/or Reimbursement experience in a 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 promptly. Superior written and verbal communication skills and efficient follow-through. Experience working with patient support HUB services. Valid US driver’s license and driving record in compliance with company standards. Ability to travel up to 50% and reside permanently in the listed territory. PREFERRED
Oncology disease state experience. Advanced degree and/or certifications in prior authorization and/or billing and coding. Strong market access acumen related to payer approval processes and business acumen. Understanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement of pharmaceutical and biotechnology products. Technical knowledge in payer policy, including all elements of reimbursement (coding, coverage, and payment). Experience with Salesforce.com CRM, Microsoft Word, and Excel. The anticipated base pay range is $99,000 to $170,200. Benefits may include medical, dental, vision, life insurance, disability coverage, accident insurance, and group legal insurance; retirement/savings plans; long-term incentive program. Time Off Benefits
Vacation – up to 120 hours per calendar year Sick time – up to 40 hours per calendar year (Washington state residents up to 56 hours) Holiday pay, including Floating Holidays – up to 13 days per calendar year Work, Personal and Family Time – up to 40 hours per calendar year Additional information can be found at: https://www.careers.jnj.com/employee-benefits Johnson & Johnson is an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by law. We support applicants with disabilities and provide accommodations upon request. The anticipated base pay range for this position is $99,000 to $170,200. Job Details
Seniority level: Not Applicable Employment type: Full-time Job function: Finance and Sales Industries: Hospitals and Health Care Referrals increase your chances of interviewing at Johnson & Johnson MedTech. Get notified about new Field Reimbursement Manager jobs in San Jose, CA. We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
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Field Reimbursement Manager, Oncology (San Francisco) – Johnson & Johnson MedTech. This role is a field-based position in the San Francisco territory. The PECS team serves patients during their treatment journey to help overcome challenges to fulfillment, onboarding, and adherence. Job Description
An important aspect of patient unmet need includes helping patients start and stay on their medicine for the best chance at treatment success. The FRM is the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs) and their office staff regarding patient access to J&J Oncology therapies. This role involves investing time (up to 50%) on-site with HCPs, assessing their education needs, and facilitating collaboration with various stakeholders. Join us in developing treatments, finding cures, and pioneering the path from lab to life while championing patients every step of the way. Learn more at https://www.jnj.com/innovative-medicine Responsibilities occur within the Patient Engagement and Customer Solutions (PECS) organization, which supports patients during their treatment journey with Janssen therapies to help overcome challenges to fulfillment, onboarding, and adherence. A Day in the Life: Every patient’s healthcare experience is unique. J&J aims to create a personalized, helpful, and hopeful experience for patients starting or continuing treatment. Primary Responsibilities
Educate HCPs on reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, etc.) for core and launch products. Collaborate with field support team members (e.g., sales representatives, key account managers) and serve as reimbursement expert for the local team. Address critical access and affordability issues for patients with a sense of urgency. 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 knowledge of hub and specialty distribution channels to improve practice and patient support needs. Collaborate with internal J&J departments (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 (e.g., 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 (pharmacy and medical benefit, including buy & bill and/or assignment of benefit across multiple sites of care). Stay current on changes in product coverage and access knowledge, marketplace conditions, and stakeholder practices to deliver effective materials. Understand and adapt to the changing healthcare ecosystem to customize resourcing and messaging to HCPs and HCP staff. Qualifications
REQUIRED
Bachelor’s degree (preferably in healthcare or business/public administration). An advanced business degree (MBA) or public health (MPH) is preferred. Minimum of 5 years of relevant professional experience. Account Management and/or Reimbursement experience in a 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 promptly. Superior written and verbal communication skills and efficient follow-through. Experience working with patient support HUB services. Valid US driver’s license and driving record in compliance with company standards. Ability to travel up to 50% and reside permanently in the listed territory. PREFERRED
Oncology disease state experience. Advanced degree and/or certifications in prior authorization and/or billing and coding. Strong market access acumen related to payer approval processes and business acumen. Understanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement of pharmaceutical and biotechnology products. Technical knowledge in payer policy, including all elements of reimbursement (coding, coverage, and payment). Experience with Salesforce.com CRM, Microsoft Word, and Excel. The anticipated base pay range is $99,000 to $170,200. Benefits may include medical, dental, vision, life insurance, disability coverage, accident insurance, and group legal insurance; retirement/savings plans; long-term incentive program. Time Off Benefits
Vacation – up to 120 hours per calendar year Sick time – up to 40 hours per calendar year (Washington state residents up to 56 hours) Holiday pay, including Floating Holidays – up to 13 days per calendar year Work, Personal and Family Time – up to 40 hours per calendar year Additional information can be found at: https://www.careers.jnj.com/employee-benefits Johnson & Johnson is an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by law. We support applicants with disabilities and provide accommodations upon request. The anticipated base pay range for this position is $99,000 to $170,200. Job Details
Seniority level: Not Applicable Employment type: Full-time Job function: Finance and Sales Industries: Hospitals and Health Care Referrals increase your chances of interviewing at Johnson & Johnson MedTech. Get notified about new Field Reimbursement Manager jobs in San Jose, CA. We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr