Johnson & Johnson MedTech
Field Reimbursement Manager, Oncology (San Francisco)
Johnson & Johnson MedTech, Sacramento, California, United States, 95828
Field Reimbursement Manager, Oncology (San Francisco)
Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager in the San Francisco territory. This field-based role supports patients on Janssen therapies by helping patients start and stay on treatment and by addressing access and affordability challenges.
PECS is committed to improving the patient experience by delivering personalized, seamless, and supportive experiences throughout the treatment journey. Learn more at https://www.jnj.com/innovative-medicine
Job Function:
Market Access Job Sub Function:
Reimbursement Job Category:
Professional
All Job Posting Locations include Napa, Sacramento, San Francisco, San Jose, Santa Rosa, and South San Francisco, CA.
The Field Reimbursement Manager (FRM) serves as 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. The role involves spending significant time on-site with HCPs to assess education needs and facilitate collaboration with stakeholders.
A Day in the Life Every patient’s healthcare experience is unique. J&J aims to create a personalized, helpful, and hopeful experience to support treatment initiation and adherence.
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 (sales representatives and key account managers) and serve as reimbursement expert for the local team.
Act with urgency to address critical access and affordability issues for patients.
Partner with managed care colleagues to understand current policies and potential changes.
Conduct field-based reimbursement and access support, education, and problem-solving aligned to FRM Rules of Engagement.
Build strong, trust-based relationships with customers in Oncology accounts.
Manage territory logistics, routing, and account business planning.
Maintain knowledge of national, regional, local, and account market dynamics including coverage and coding requirements.
Grow knowledge of hub and specialty distribution channels to support practice and patient needs.
Collaborate with internal J&J departments (marketing, sales, medical science, SCG, IBG, HCC, and PECS) and serve as SME on education and insights on access and affordability across payer types and plans (e.g., Medicare, Medicaid Managed Care, Commercial).
Execute business in accordance with ethical, legal, and compliance standards, including training completion.
Market Access Expertise
Extensive knowledge of medication access channels (pharmacy and medical benefit, including buy & bill or AOB across multiple sites of care).
Stays current on changes in product coverage and access knowledge, marketplace conditions, and stakeholder practices to deliver effective materials.
Adapts to the changing healthcare ecosystem to customize resourcing and messaging to HCPs and HCP staff.
Qualifications
Required
Bachelor’s degree (healthcare or business/public administration preferred). An MBA or MPH is a plus.
Minimum of 5 years of relevant professional experience.
Account management and/or reimbursement experience in a provider office setting with 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).
Ability to establish relationships, collaborate, and influence across a matrix organization.
Problem-solving ability to navigate access scenarios and identify solutions timely.
Superior written and verbal communication skills with effective follow-through.
Experience with patient support HUB services.
Valid US driver’s license and driving record meeting company standards.
Ability to travel up to 50% and reside in the listed territory.
Preferred
Oncology disease state experience.
Advanced degree 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/biotech products.
Technical knowledge in payer policy, including all elements of reimbursement (coding, coverage, payment).
Experience with Salesforce or similar CRM, and MS Word/Excel.
The anticipated base pay range for this position is $99,000 to $170,200.
Employee benefits include medical, dental, vision, life insurance, disability options, and retirement plans. The position is eligible for the Company’s long-term incentive program.
Time off benefits include vacation, sick time, holidays, and personal/work time, with specifics per location. For more information, visit 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 protected characteristics. For accommodation requests, contact the careers site or internal HR resources as applicable.
Employment type:
Full-time
Additional job details: Seniority level Not Applicable; Industries: Hospitals and Health Care.
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PECS is committed to improving the patient experience by delivering personalized, seamless, and supportive experiences throughout the treatment journey. Learn more at https://www.jnj.com/innovative-medicine
Job Function:
Market Access Job Sub Function:
Reimbursement Job Category:
Professional
All Job Posting Locations include Napa, Sacramento, San Francisco, San Jose, Santa Rosa, and South San Francisco, CA.
The Field Reimbursement Manager (FRM) serves as 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. The role involves spending significant time on-site with HCPs to assess education needs and facilitate collaboration with stakeholders.
A Day in the Life Every patient’s healthcare experience is unique. J&J aims to create a personalized, helpful, and hopeful experience to support treatment initiation and adherence.
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 (sales representatives and key account managers) and serve as reimbursement expert for the local team.
Act with urgency to address critical access and affordability issues for patients.
Partner with managed care colleagues to understand current policies and potential changes.
Conduct field-based reimbursement and access support, education, and problem-solving aligned to FRM Rules of Engagement.
Build strong, trust-based relationships with customers in Oncology accounts.
Manage territory logistics, routing, and account business planning.
Maintain knowledge of national, regional, local, and account market dynamics including coverage and coding requirements.
Grow knowledge of hub and specialty distribution channels to support practice and patient needs.
Collaborate with internal J&J departments (marketing, sales, medical science, SCG, IBG, HCC, and PECS) and serve as SME on education and insights on access and affordability across payer types and plans (e.g., Medicare, Medicaid Managed Care, Commercial).
Execute business in accordance with ethical, legal, and compliance standards, including training completion.
Market Access Expertise
Extensive knowledge of medication access channels (pharmacy and medical benefit, including buy & bill or AOB across multiple sites of care).
Stays current on changes in product coverage and access knowledge, marketplace conditions, and stakeholder practices to deliver effective materials.
Adapts to the changing healthcare ecosystem to customize resourcing and messaging to HCPs and HCP staff.
Qualifications
Required
Bachelor’s degree (healthcare or business/public administration preferred). An MBA or MPH is a plus.
Minimum of 5 years of relevant professional experience.
Account management and/or reimbursement experience in a provider office setting with 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).
Ability to establish relationships, collaborate, and influence across a matrix organization.
Problem-solving ability to navigate access scenarios and identify solutions timely.
Superior written and verbal communication skills with effective follow-through.
Experience with patient support HUB services.
Valid US driver’s license and driving record meeting company standards.
Ability to travel up to 50% and reside in the listed territory.
Preferred
Oncology disease state experience.
Advanced degree 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/biotech products.
Technical knowledge in payer policy, including all elements of reimbursement (coding, coverage, payment).
Experience with Salesforce or similar CRM, and MS Word/Excel.
The anticipated base pay range for this position is $99,000 to $170,200.
Employee benefits include medical, dental, vision, life insurance, disability options, and retirement plans. The position is eligible for the Company’s long-term incentive program.
Time off benefits include vacation, sick time, holidays, and personal/work time, with specifics per location. For more information, visit 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 protected characteristics. For accommodation requests, contact the careers site or internal HR resources as applicable.
Employment type:
Full-time
Additional job details: Seniority level Not Applicable; Industries: Hospitals and Health Care.
#J-18808-Ljbffr