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Field Reimbursement Manager, Oncology – Patient Engagement & Customer Solutions
Johnson & Johnson. Serve as the primary field-based lead for education, assistance, and issue resolution regarding 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, billing, and prior authorizations, while effectively collaborating with healthcare providers and internal teams. Possesses strong problem-solving skills and the ability to build trust-based relationships in a matrix organization.
Highest-signal resume keywords
Patient Access ExpertiseReimbursement ExperienceAccount ManagementOncology Disease State KnowledgeSalesforce.com CRM Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
CodingBillingPrior AuthorizationsAppeals ProcessesRevenue Cycle ManagementPharmacy Benefit DesignMedical Benefit DesignOffice OperationsMarket AccessBusiness Acumen
Soft Skills
Relationship BuildingCollaborationProblem-SolvingCommunicationInfluencing
Tools & Technologies
Salesforce.com CRMMicrosoft WordMicrosoft Excel
Certifications & Qualifications
Relevant Certifications in Prior AuthorizationBilling and Coding Certifications
Industry Keywords
MedicareMedicaidManaged CarePayer PolicyPatient Support HUB ServicesOncology TherapiesHealthcare ProvidersCompliance 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 regarding patient access to J&J Oncology therapies
- Spend up to 50% of time on-site with healthcare providers, assess education needs, and facilitate stakeholder collaboration
- Educate healthcare providers on reimbursement processes, claims submissions, procedures, and payer coding requirements
- Collaborate with sales representatives and key account managers as the local access, fulfillment, and reimbursement expert
- Lead compliant access and fulfillment discussions with field support team members
- Use data and account management skills to proactively address access barriers
- Address critical patient access and affordability issues with urgency and accountability
- Partner with managed care colleagues on current policies and potential changes
- Conduct field-based reimbursement and access support, education, and creative problem-solving
- Build trust-based relationships with customers in assigned accounts
- Manage territory logistics, routing, and account business planning
- Maintain knowledge of market dynamics, coverage, and coding requirements
- Grow knowledge of hub and specialty distribution channels
- Collaborate with internal J&J departments including marketing, sales, medical science, SCG, IBG, HCC, and PECS
- Serve as subject matter expert on access and affordability solutions across Medicare, Medicaid Managed Care, Commercial, and other payer types
- Execute business according to ethical, legal, and compliance standards and complete required training
Requirements
What you’ll need- Bachelor’s degree, 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 benefit design, coding, billing, prior authorizations, office operations, and appeals processes
- 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
- Permanent residence in the listed territory
- Oncology disease state experience preferred
- Advanced degree and/or relevant certifications in prior authorization and/or billing and coding preferred
- Strong market access and business acumen preferred
- Understanding of Medicare, Medicaid, and private payer initiatives preferred
- Technical knowledge of payer policy, including coding, coverage, and payment preferred
- Competence using salesforce.com CRM, Microsoft Word, and Excel preferred
- Commitment to learning emerging technologies such as AI
- Willingness to travel up to 75% of the time
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
- 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 the 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
- Inclusive interview process and disability accommodations