Field Reimbursement Manager, Oncology - Wisconsin

Job Summary Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager. The role is field‑based and covers Eau Claire, Wausau, Medford, Cumberland, Stevens Point, Hudson, and Marshfield. The FRM will serve 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 Immunology therapies. Location Eau Claire, Wisconsin (and surrounding cities: Wausau, Medford, Cumberland, Stevens Point, Hudson, Marshfield) Primary Responsibilities Educate HCPs on product coverage, prior authorizations, appeals, 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 Immunology 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 completion of all required training. Qualifications – REQUIRED Bachelor’s degree (preferably in healthcare or business/public administration). Advanced business degree (MBA) or public health (MPH) is preferred. Minimum of 5 years of relevant professional experience in account management and/or reimbursement in hospital and/or provider office settings. Demonstrated expertise with pharmacy and medical/buy‑and‑bill benefits, coding, and billing. Reimbursement or 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 in a timely and efficient manner. Experience with patient support HUB services. Valid U.S. driver’s license and compliant driving record. Ability to maintain up to 50% travel. Permanent residence in the listed territory. Qualifications – PREFERRED Immunology disease state experience. Advanced degree and/or certifications in prior authorization and/or billing and coding. Strong market access acumen relating to payer approval processes and business acumen. Understanding of Medicare, Medicaid, and private payer initiatives impacting reimbursement of pharmaceutical and biotechnology products. Excellent technical knowledge and expertise in payer policy, including all elements of reimbursement (coding, coverage, and payment). Proficiency with Salesforce.com CRM, Microsoft Word, and Excel. Required 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. Equal Opportunity Statement 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 any characteristic 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. #J-18808-Ljbffr