Field Reimbursement Manager (Oncology)- Network Accounts- Ohio
Company: Johnson and Johnson
Location: Cincinnati
Posted on: April 28, 2024
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Job Description:
Field Reimbursement Manager (Oncology)- Network Accounts-
Ohio
At Johnson & Johnson Innovative Medicine (JJIM), what matters most
is helping people live full and healthy lives. We focus on
treating, curing, and preventing some of the most devastating and
complex diseases of our time. And we pursue the most promising
science, wherever it might be found.
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.
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.
Job Description:
An important aspect of patient unmet need includes helping them
start and stay on their medicine for the best chance at treatment
success. The Patient Engagement and Customer Solutions (PECS)
organization serves patients, during their treatment journey with
Janssen therapies, to help overcome challenges to fulfillment,
on-boarding, and adherence.
The Field Reimbursement Manager (FRM) is responsible for serving as
the primary field-based lead for education, assistance, and issue
resolution with healthcare providers (HCPs), and their office
staff, with respect to patient access to J&J Oncology
therapies. This role involves investing time (up to 50%) on-site
with HCPs, assessing their education needs and facilitating
collaboration with various stakeholders.
A Day in the Life Every patient's healthcare experience is unique -
shaped by personal experiences and beliefs, the presence or absence
of support networks, provider and payer dynamics, and socioeconomic
factors. For many patients, the decision to start or stop a
treatment is overwhelming. J&J recognizes this, and wants to
create an experience that is personalized, helpful, and
hopeful.
Primary Responsibilities:
--- Primary responsibilities include the following. Other duties
may be assigned.
--- Provide support for Large Account Management (IDNs)
--- Coordinate with Key Account Manager Team
--- 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
Market Access Expertise:
--- Extensive knowledge of medication access channels (i.e.,
pharmacy and medical benefit including buy & bill and/or assignment
of benefit (AOB) across multiple sites of care
--- Remains current on and anticipates changes in product coverage
and access knowledge, marketplace conditions, and stakeholder
practices to deliver the most effective delivery of approved
materials
--- Understands and adapts to the changing healthcare ecosystem to
customize resourcing and messaging to HCPs and HCP staff
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
--- Large Account Management and/or Reimbursement experience
working in the provider office setting, building strong customer
relationship
--- Experience with new product launches
--- Experience working with IDN's
--- 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.
Employees and/or eligible dependents may be eligible to participate
in the following Company sponsored employee benefit programs:
medical, dental, vision, life insurance, short- and long-term
disability, business accident insurance, and group legal
insurance.
Employees may be eligible to participate in the Company's
consolidated retirement plan (pension) and savings plan
(401(k)).
This position is eligible to participate in the Company's long-term
incentive program.
Employees are eligible for the following time off benefits:
--- Vacation - up to 120 hours per calendar year
--- Sick time - up to 40 hours per calendar year; for employees who
reside in the State of Washington - up to 56 hours per calendar
year
--- Holiday pay, including Floating Holidays - up to 13 days per
calendar year
--- Work, Personal and Family Time - up to 40 hours per calendar
year
Additional information can be found through the link below.
For additional general information on Company benefits, please go
to: - https://www.careers.jnj.com/employee-benefits
Johnson & Johnson is an Affirmative Action and 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, or protected
veteran status and will not be discriminated against on the basis
of disability.
For more information on how we support the whole health of our
employees throughout their wellness, career and life journey,
please visit www.careers.jnj.com .]
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Keywords: Johnson and Johnson, Hamilton , Field Reimbursement Manager (Oncology)- Network Accounts- Ohio, Executive , Cincinnati, Ohio
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