Field Reimbursement Manager (Oncology)- Network Accounts- Carolinas
Company: Disability Solutions
Location: Raleigh
Posted on: April 20, 2024
Job Description:
Field Reimbursement Manager (Oncology)- Network Accounts-
Carolinas- Johnson & Johnson HCS, Inc.
- At Johnson & Johnson Innovative Medicine (JJIM), what matters
most is helping people live full and healthy lives. We focus on
treating, curing, and preventing some of the most devastating and
complex diseases of our time. And we pursue the most promising
science, wherever it might be found. Johnson & Johnson Innovative
Medicine's Patient Engagement and Customer Solutions (PECS) team is
recruiting for a Field Reimbursement Manager which will be a
field-based position. 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
Immunology 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.
- Provide support for Large Account Managements (IDNs).
- Coordinate with Key Account Manager Team.
- 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.
- Remains current on and anticipates changes in product coverage
and access knowledge, marketplace conditions, and stakeholder
practices to deliver the most effective delivery of approved
materials.
- Understands and adapts to the changing healthcare ecosystem to
customize resourcing and messaging to HCPs and HCP staff.
Keywords: Disability Solutions, Raleigh , Field Reimbursement Manager (Oncology)- Network Accounts- Carolinas, Healthcare , Raleigh, North Carolina
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