Donald Wharton
Upper Deerfield,NJ
Summary
Results driven Field Reimbursement Manager with over 5 years of pharmaceutical and biotech experience specializing in Sales, Market Access, Specialty Pharmacy and Buy and Bill. Proven track record driving payer pull-through, resolving access barriers, and educating HCPs and staff on reimbursement pathways across Buy & Bill, specialty pharmacy, and white bagging channels. Skilled cross functional collaborator engaging sales, hub services, and matrix teams to optimize patient access in competitive payer environments across leading biopharmaceutical organizations. I also have over 20 years of experience in hospital inpatient and outpatient pharmacy at the Hospital of The University of Penn and as an Adjunct Professor at the Community College of Philadelphia.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Oncology Field Reimbursement Manager
Johnson & Johnson
New Jersey
04.2024 - Current
- Played a key role in oncology launches (INLEXZO®, RYBREVANT FASPRO™ + LAZCLUZE®, TECVAYLI®, TALVEY®), leading account readiness through reimbursement strategy, access education, and fulfillment optimization
- Act as a strategic reimbursement leader and SME, influencing provider and health system decision-making across complex payer, billing, and access landscapes
- Partnered cross-functionally to identify and resolve access barriers, accelerating therapy initiation and enhancing patient adherence
- Advised providers on navigating evolving reimbursement environments, including early-launch payer dynamics, coding transitions, and risk mitigation strategies
- Guided provider adoption of buy-and-bill workflows and J-code billing, reducing reimbursement uncertainty and ensuring timely claims processing
- Received recognition as National Oncology FRM of the Year for outstanding contributions to the field.
Oncology Field Reimbursement Manager
Cencora
Bridgeton, NJ
08.2022 - 04.2024
- Enhanced awareness and understanding of pertinent reimbursement topics for clients' products by delivering dynamic educational presentations at various provider sites.
- Improved customer satisfaction by ensuring understanding of the Oncology support resources available to them
- Streamlined communication between departments involved in the access & reimbursement process, fostering collaboration and accuracy.
- Reduced reimbursement claim errors by implementing rigorous attention to detail and thorough documentation.
- ·Facilitated relationships with over 300 oncology accounts to improve service delivery and access to resources.
- Orchestrated the coordination of diverse therapies, ranging from oral medications and biosimilars to cancer treatments for presentation to healthcare professionals.
- Conducted regional visits across NJ, NY, PA, MD, and DE to assist oncology offices with access and reimbursement needs.
Associate Practice Manager
Hospital of the University of Pennsylvania
Philadelphia, PA
03.2022 - 07.2022
- Ensured all entity patient care-related processes (patient registration/scheduling, medical records, clinical patient care, patient flow through office, etc.) deliver high quality and efficient care to patients and their families
- Monitored regional and practice operations to adhere to financial controls and comply with federal, state, professional, and local requirements.
- Supported various departments to enhance operational efficiency.
Lead Prior Authorization Technician
Hospital of the University of Pennsylvania
Philadelphia, PA
03.2019 - 03.2022
- Coordinated activities within prior authorization program and rolled out management initiatives to pharmacy support staff, enhancing program effectiveness.
- Maintain knowledge of all technician service lines and cover each service line when needed and assist supervisors with data productivity of technician roles
- Collaborated with Pharmacy Coordinator to align efforts with specialty pharmacy program objectives and support health system initiatives.
- Lead meetings in conjunction with Pharmacy Coordinator and perform quality assurance checks of pharmacy technician documentation to ensure accuracy and completeness
- Prepared detailed reports on updates to project specifications, progress, identified conflicts and team activities.
- Addressed employee and production issues directly, implementing timely solutions to minimize resource and time losses.
Prior Authorization Technician
Hospital of University of Pennsylvania
Philadelphia, PA
07.2015 - 02.2019
- Processed prior authorizations for complex service lines (oncology, cardiology) efficiently, ensuring timely patient access to necessary treatments.
- Collaborated with outpatient and inpatient teams to streamline prior authorization processes, enhancing communication and coordination.
- Assisted commercial and medicare patients with copay assistance
- Provided patients with the best overall experience possible
- Maintained appropriate and professional communication written and verbal
- Cultivated relationships with clinics and providers to enhance engagement with prior authorization program, fostering collaboration and support.
Education
Bachelor of Science - Business Management
Western Governors University
Salt Lake City, UTMBA - Business
Western Governors University
Salt Lake City, UT10-2026
Skills
- Prior Authorizations & Appeals
- Benefits Investigations
- Billing & Payer Policy Navigation
- Buy & Bill White Bagging Specialty Pharmacy
- Copay Assistance & Patient Support Programs
- Independent Foundation & PAP Management
- Market Access Strategy
- Product Launch Support
- Territory & Account Management
- Customer Engagement & HCP Education
- Payer Landscape Navigation
- Cross-Functional Team Leadership
- Healthcare Compliance & Regulations
- Navigating Denials & Appeal
Accomplishments
- Named National Oncology FRM of the year for 2025
- Named Relentless FRM of Q3 2025
Certification
Certified Pharmacy Technician (CPhT)
Pharmacy Technician Certification Board (PTCB)
Issued Sep 2006 · Expires Jan 2028
Credential ID 410101070960744
Timeline
Oncology Field Reimbursement Manager
Johnson & Johnson
04.2024 - Current
Oncology Field Reimbursement Manager
Cencora
08.2022 - 04.2024
Associate Practice Manager
Hospital of the University of Pennsylvania
03.2022 - 07.2022
Lead Prior Authorization Technician
Hospital of the University of Pennsylvania
03.2019 - 03.2022
Prior Authorization Technician
Hospital of University of Pennsylvania
07.2015 - 02.2019
Bachelor of Science - Business Management
Western Governors University
MBA - Business
Western Governors University