Johnson & Johnson
Field Reimbursement Manager, Oncology (San Francisco)
Johnson & Johnson, Sacramento, California, United States, 95828
At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal.
Job Function:
Market Access Job Sub Function:
Reimbursement Job Category:
Professional All Job Posting Locations:
Napa, California, United States, Sacramento, California, United States of America, San Francisco, California, United States of America, San Jose, California, United States of America, Santa Rosa, California, United States of America, South San Francisco, California, United States of America Job Description:
Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position in the San Francisco territory. PECS is committed to setting the standard on Patient Experience (Px), building more personalized, seamless, and supportive experiences to help patients start and stay on treatments across the portfolio. Our expertise in Innovative Medicine is informed and inspired by patients, whose insights fuel our science-based advancements. Visionaries like you work on teams that save lives by developing the medicines of tomorrow. Join us in developing treatments, finding cures, and pioneering the path from lab to life while championing patients every step of the way. 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 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 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 working in the provider office setting, building strong customer relationship 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 identifies 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 maintain up to 50% travel Permanent residence in the listed territory PREFERRED Oncology disease state experience Advanced degree and/or relevant certifications in prior authorization and/or billing and coding Strong market access acumen as it relates to payer approval processes and business acumen Understanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement of pharmaceutical and biotechnology products Excellent technical knowledge and expertise in payer policy, including all elements of reimbursement (coding, coverage, and payment) is preferred Demonstrated competence with salesforce.com CRM use, Microsoft Word, and Excel The anticipated base pay range for this position is $99,000 to $170,200. Johnson & Johnson is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by federal, state or local law.
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Market Access Job Sub Function:
Reimbursement Job Category:
Professional All Job Posting Locations:
Napa, California, United States, Sacramento, California, United States of America, San Francisco, California, United States of America, San Jose, California, United States of America, Santa Rosa, California, United States of America, South San Francisco, California, United States of America Job Description:
Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position in the San Francisco territory. PECS is committed to setting the standard on Patient Experience (Px), building more personalized, seamless, and supportive experiences to help patients start and stay on treatments across the portfolio. Our expertise in Innovative Medicine is informed and inspired by patients, whose insights fuel our science-based advancements. Visionaries like you work on teams that save lives by developing the medicines of tomorrow. Join us in developing treatments, finding cures, and pioneering the path from lab to life while championing patients every step of the way. 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 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 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 working in the provider office setting, building strong customer relationship 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 identifies 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 maintain up to 50% travel Permanent residence in the listed territory PREFERRED Oncology disease state experience Advanced degree and/or relevant certifications in prior authorization and/or billing and coding Strong market access acumen as it relates to payer approval processes and business acumen Understanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement of pharmaceutical and biotechnology products Excellent technical knowledge and expertise in payer policy, including all elements of reimbursement (coding, coverage, and payment) is preferred Demonstrated competence with salesforce.com CRM use, Microsoft Word, and Excel The anticipated base pay range for this position is $99,000 to $170,200. Johnson & Johnson is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by federal, state or local law.
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