myGwork - LGBTQ+ Business Community · 4 hours ago

Field Reimbursement Manager (Oncology)– (Northeast Local Account Team, Michigan Territory) – Johnson & Johnson HCS, Inc.

United States

Full-time

Remote

Entry, Mid Level

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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

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

Qualification

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Reimbursement processesClaims submissionsCoding requirementsOncology knowledgeManaged care policiesPatient access solutionsTerritory managementStakeholder collaborationEthical complianceField-based educationMarket dynamics knowledgeHub distribution channelsRelationship building

Required

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.

Execute business in accordance with the highest ethical, legal, and compliance standards, including timely and successful completion of all required training.

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.