Field Reimbursement Manager, Long Island, NY (Oncology)

Overview Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager for Long Island, NY. This is a field-based position and the territory includes Long Island, NY and Queens, NY. 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. Responsibilities Proactively educate HCPs on reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, etc.) for core and launch oncology 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 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 (e.g., 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 & Requirements 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. Remain current on changes in product coverage and access knowledge, marketplace conditions, and stakeholder practices to deliver effective materials. Understand and adapt to the changing healthcare ecosystem to customize resourcing and messaging to HCPs and HCP staff. Understand payer policy, coverage, and payment elements; stay informed on Medicare, Medicaid, and private payer initiatives affecting reimbursement. 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 in Account Management and/or Reimbursement within provider offices, with strong customer relationships. Demonstrated expertise with 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). Ability to establish relationships, collaborate, and influence across a matrix organization. Problem-solving ability to navigate challenging access scenarios and identify solutions promptly. Superior written and verbal communication skills 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 travel up to 50% with mostly in-person interaction with HCPs and occasional overnight stays. Permanent residence in the listed territory. Preferred Oncology disease state experience. Advanced degree and/or certifications in prior authorization, 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. Technical knowledge in payer policy, including all elements of reimbursement (coding, coverage, and payment). Experience with Salesforce CRM, Microsoft Word, and Excel. 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. If you are an individual with a disability and would like to request an accommodation, please contact us via or contact AskGS to be directed to your accommodation resource. #J-18808-Ljbffr