5 дней назад
Field Reimbursement Manager, Oncology (MS/AR)
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Field Reimbursement Manager, Oncology (MS/AR) (Market Access and Reimbursement): Educating healthcare providers on reimbursement processes, claims, coding, coverage, and patient access for oncology therapies with an accent on pharmacy and medical benefits, buy-and-bill pathways, and payer requirements. Focus on resolving complex access and affordability issues, building provider relationships, managing territory logistics, and collaborating across J&J teams.
Location: Field-based territory covering Mississippi and Arkansas; permanent residence in the listed territory required. At least 50% on-site engagement with healthcare providers, up to 50% travel, and occasional overnight stays.
Company
Johnson & Johnson develops medicines and healthcare solutions across Innovative Medicine and MedTech, with a focus on improving patient access and treatment experiences.
What you will do
- Educate healthcare providers and office staff on reimbursement processes, claims submissions, coding, coverage, and payer requirements for oncology products.
- Provide field-based reimbursement and access support, resolve patient access and affordability issues, and address complex reimbursement scenarios.
- Build trusted relationships with oncology accounts and collaborate with sales representatives, key account managers, managed care colleagues, and other internal teams.
- Serve as a subject matter expert on Medicare, Medicaid managed care, commercial payers, pharmacy and medical benefits, buy-and-bill, prior authorization, and appeals.
- Manage territory routing, logistics, account planning, market dynamics, and knowledge of hub and specialty distribution channels.
- Execute business activities in accordance with legal, ethical, compliance, and training requirements.
Requirements
- Bachelor’s degree, preferably in healthcare, business, or public administration.
- Minimum of 5 years of relevant professional experience, including account management or reimbursement work in provider office settings.
- Demonstrated expertise in pharmacy and medical benefits, buy-and-bill, coding, billing, revenue cycle, prior authorization, and appeals.
- Experience with patient support hub services, relationship building, cross-functional collaboration, influence, and complex problem-solving.
- Valid US driver’s license, compliant driving record, and permanent residence in the Mississippi/Arkansas territory required.
- Ability to engage healthcare providers primarily in person, travel up to 50%, and occasionally stay overnight required.
Nice to have
- Oncology disease-state experience.
- Advanced degree or certifications in prior authorization, billing, or coding.
- Knowledge of Medicare, Medicaid, private payer initiatives, payer policy, reimbursement, coding, coverage, and payment.
- Experience with Salesforce CRM, Microsoft Word, and Excel.
- Interest in learning and applying emerging technologies such as AI.
Culture & Benefits
- Patient-centered work focused on improving treatment access, onboarding, adherence, and healthcare experiences.
- Collaboration across Innovative Medicine, sales, marketing, medical science, managed care, compliance, and patient engagement functions.
- Inclusive work environment that values individual dignity, diversity, and equal opportunity.
- Commitment to ethical, legal, and compliant business practices.
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