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Field Reimbursement Manager – Oncology
Johnson & Johnson. Serve as the primary field-based lead for education, assistance, and issue resolution concerning patient access to J&J Oncology therapies .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient access and reimbursement processes, including coding and billing, while effectively collaborating with healthcare providers and internal teams. Proven ability to build relationships and navigate complex access scenarios within the oncology sector.
Highest-signal resume keywords
Patient Access ExpertiseReimbursement ExperienceOncology Disease State KnowledgeAccount Management SkillsProblem-Solving Ability
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
CodingBillingRevenue Cycle ManagementPrior AuthorizationBuy-and-Bill ProcessesClaims SubmissionPayer Coding RequirementsMarket Dynamics KnowledgeHub Services ExperienceHealthcare Provider Education
Soft Skills
Relationship BuildingCollaborationInfluencing SkillsCommunication SkillsProblem-Solving
Tools & Technologies
Salesforce.com CRMMicrosoft WordMicrosoft Excel
Certifications & Qualifications
Advanced Degree in Healthcare or Business/Public AdministrationRelevant Certifications in Prior Authorization and/or Billing and Coding
Industry Keywords
Oncology TherapiesMedicareMedicaidManaged CarePharmaceutical ReimbursementBiotechnology ReimbursementPatient Support HUB ServicesCompliance StandardsEthical StandardsTerritory Management
Tech Stack
Tools & technologiesSFDC
About the role
Key responsibilities & impact- Serve as the primary field-based lead for education, assistance, and issue resolution concerning patient access to J&J Oncology therapies
- Spend up to 50% of time on-site with healthcare providers and assess their education needs
- Educate healthcare providers on reimbursement processes, claims submissions, procedures, and payer coding requirements
- Collaborate with sales representatives, key account managers, managed care colleagues, and internal J&J departments
- Address critical patient access and affordability issues with urgency
- Provide reimbursement and access support, education, and creative problem-solving under FRM Rules of Engagement
- Build trust-based relationships with customers across assigned Oncology accounts
- Manage territory logistics, routing, and account business planning
- Maintain knowledge of market dynamics, coverage, and coding requirements
- Develop knowledge of hub and specialty distribution channels
- Serve as subject matter expert on access and affordability solutions across Medicare, Medicaid Managed Care, and commercial plans
- Execute business according to ethical, legal, and compliance standards and complete required training
- Monitor product coverage, access conditions, marketplace changes, and stakeholder practices
- Customize resources and messaging for healthcare providers and their staff
Requirements
What you’ll need- Bachelor’s degree required, preferably in healthcare or business/public administration
- Minimum of 5 years of relevant professional experience
- Account Management and/or Reimbursement experience working in the provider office setting
- Expertise with pharmacy and medical/buy & bill benefits, coding, and billing
- Reimbursement or relevant managed care experience, including 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
- 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 compliant with company standards
- Ability to consistently maintain up to 50% travel
- Permanent residence in the listed territory within reasonable proximity to a major airport
- Oncology disease state experience preferred
- Advanced degree and/or relevant certifications in prior authorization and/or billing and coding preferred
- Understanding of Medicare, Medicaid, and private payer initiatives affecting pharmaceutical and biotechnology reimbursement
- Salesforce.com CRM, Microsoft Word, and Excel competence preferred
Benefits
Comp & perks- Consolidated retirement plan (pension)
- Savings plan (401(k))
- Long-term incentive program
- Vacation – 120 hours per calendar year
- Sick time – 40 hours per calendar year; 48 hours for Colorado residents; 56 hours for Washington residents
- Holiday pay, including Floating Holidays – 13 days per calendar year
- Work, Personal and Family Time – up to 40 hours per calendar year
- Parental Leave – 480 hours within one year of birth/adoption/foster care of a child
- Bereavement Leave – 240 hours for an immediate family member; 40 hours for an extended family member per calendar year
- Caregiver Leave – 80 hours in a 52-week rolling period
- Volunteer Leave – 32 hours per calendar year
- Military Spouse Time-Off – 80 hours per calendar year