Field Reimbursement Manager (Oncology)– (St. Louis, Missouri)

Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager for the Great Plains territory, a field-based position aligned to community hospitals, independent Oncology clinics, and small Oncology group practices. The St. Louis, Missouri territory includes Eastern Missouri and Southern Illinois.

About the Role

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, helping 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 regarding patient access to J&J Oncology therapies. This role involves investing up to 50% of time on-site with HCPs, assessing education needs, and facilitating collaboration with various stakeholders.

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, serving as the reimbursement expert for the local team.
• Act with 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 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 a subject matter expert regarding education and insights on access and affordability solutions across multiple payer types and plans (e.g., Medicare, Medicaid Managed Care, Commercial).
• Execute business in accordance with the highest ethical, legal, and compliance standards, including timely completion of all required training.

Market Access Expertise

• Extensive knowledge of medication access channels (e.g., 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 effective materials.
• Understands and adapts to the changing healthcare ecosystem to customize resourcing and messaging for HCPs and their staff.

Qualifications

• 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.
• Account Management and/or Reimbursement experience working in the provider office setting, building strong customer relationships.
• 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 identify solutions efficiently.
• Superior communication skills (written and verbal) and efficient follow-through.
• Experience 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 (Eastern Missouri and Southern Illinois).

Preferred Qualifications

• Oncology disease state experience.
• Advanced degree and/or relevant certifications in prior authorization and/or billing and coding.
• Strong market access acumen related 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).
• Demonstrated competence with Salesforce.com CRM, Microsoft Word, and Excel.
• Commitment to learning emerging technologies, such as AI, through exploration and iteration.

Skills

• Account Management
• Coaching
• Competitive Landscape Analysis
• Compliance Management
• Consulting
• Cross-Functional Collaboration
• Escalation Management
• Fact-Based Decision Making
• Finance and Accounting Platforms
• Financial Reports
• Market Access Reimbursement
• Market Opportunity Assessment
• Performance Measurement
• Pricing Strategies
• Process Improvements
• Strategic Thinking
• Technical Credibility

Pay

The anticipated base pay range for this position is $102,000 – $177,100 per year.

Benefits

• Eligibility to participate in the Company’s consolidated retirement plan (pension) and savings plan (401(k)).
• Eligibility to participate in the Company’s 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: 180 hours within one year of the birth/adoption/foster care of a child.
• Bereavement Leave: 60 hours for an immediate family member, 40 hours for an extended family member per calendar year.
• Caregiver Leave: 40 hours in a 52-week rolling period.
• Volunteer Leave: 6 hours per calendar year.
• Military Spouse Time-Off: 40 hours per calendar year.
• Health insurance.