Field Reimbursement Manager (Oncology) – (Central Local Account Team, Chicago Territory IL, WI)

At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn more at https://www.jnj.com

Job Function:

Market Access

Job Sub Function:

Reimbursement

Job Category:

Professional

All Job Posting Locations:

Chicago, Illinois, United States

Job Description:

Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is recruiting for a Local Account Field Reimbursement Manager for the Great Plains territory which is a field-based position. The Local FRM team is aligned to community hospitals, independent Oncology clinics, and small Oncology group practices. The Chicago territory includes IL and WI.

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.

·       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

·       Rem