Field Reimbursement Manager, CAR-T, Southeast Region

This is a field-based role available in all states within the United States. While specific cities are listed in the Locations section for reference, please note that they are examples only and do not limit your application. We invite candidates from any location to apply.

About Oncology

Our expertise in Innovative Medicine is informed and inspired by patients, whose insights fuel our science-based advancements. Visionaries like you work on teams that save lives by developing the medicines of tomorrow.

Our Oncology team is focused on the elimination of cancer by discovering new pathways and modalities to finding treatments and cures. We lead where medicine is going and need innovators with an unwavering commitment to results.

Join us in developing treatments, finding cures, and pioneering the path from lab to life while championing patients every step of the way.

Learn more at https://www.jnj.com/innovative-medicine

The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with office staff with respect to reimbursement for CAR-T.  This role involves investing significant time (up to 75% potentially on-site) with customers assessing their education needs and facilitating collaboration with various stakeholders.   

Primary Responsibilities: 

• Educate the office staff around how to navigate the access and payer approval process, identifying access barriers that they’ll need to overcome, and highlighting actions that support access to therapy.

• Monitor, analyze, and triage situations which may adversely impact patient access to therapy.

• Liaise with entire Market Access department, other internal groups including sales, and medical groups to identify and resolve trending issues regarding patient access to therapies.

• Serve as subject matter expert for internal stakeholders and external office staff regarding the Medicare treatment guidelines, Medicaid Managed Care, commercial plans, policy changes, formulary status and the impact of healthcare reform on coverage. Maintain and share relevant information regarding account contacts, prior authorization requirements, trends, competitive intelligence, etc. with the Market Access Department.

• Educate peers in the Customer Care Area about various elements of Market Access, including reimbursement, medical coverage policies and medical benefit design.

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

QUALIFICATIONS: 

REQUIRED:

• Bachelor’s degree

• Five years relevant experience of which three years are experience in specialty disease state(s)

• Must live within assigned geographic region

• Excellent technical knowledge and expertise in payer policy, including all elements of reimbursement (coding, coverage, and payment)

• Extensive experience in revenue cycle, buy-and-bill, formulary, prior authorization, coding, and appeals processes

• Candidates must live in close proximity to a major airport.

• A valid Driver’s License issued in the United States

PREFERRED:

• Advanced degree, or clinical license preferred

• Two years of reimbursement or relevant managed care experience

• Experience in multiple myeloma or related areas of oncology

• Proven ability to thrive in both an independent setting and in a cross functional / team environment.

• Strong knowledge as it relates to payer approval process, and solid business acumen.

• Strong organizational, problem solving and project management skills.

• Understanding of national and state legislative, Medicare, Medicaid, and private payer initiatives affecting reimbursement of pharmaceutical and biotechnology products.

• Success exhibiting peer leadership, mentorship and coaching to new hires as well as the rest of the team.

• Demonstrated competence with salesforce.com CRM use, native iOS app use, Microsoft Word, and Excel

• Superior communication skills (written and verbal) and excellent follow through

• Experience in the field, and especially in oncology

• Ability to develop and execute education plans

• Demonstrated ability to conduct field-based reimbursement and access support, education and consultation

• Resides in Virginia, West Virginia, North Carolina, Kentucky, Tennessee, South Carolina, Georgia, Alabama, Florida.  Candidates that live in other states may be considered.

Johnson & Johnson is an 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, disability, protected veteran status or other characteristics protected by federal, state or local law. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act.

Johnson and Johnson is committed to providing an interview process that is inclusive of our applicants’ needs. If you are an individual with a disability and would like to request an accommodation, please email the Employee Health Support Center (ra-employeehealthsup@its.jnj.com) or contact AskGS to be directed to your accommodation resource.