Field Reimbursement Manager - Immunology Dermatology – Big Sur North – Johnson &

Field Reimbursement Manager - Immunology Dermatology – Big Sur North – Johnson & Johnson HCS, Inc.

Base pay range: $100,000.00/yr - $175,000.00/yr

Company: Johnson & Johnson

Location: San Jose, California; territory includes San Jose, Salinas, Santa Cruz, Watsonville, Gilroy, CA

Job Description

Field Reimbursement Manager (FRM) is a field-based role serving as the primary education, assistance, and issue resolution lead for healthcare providers and their staff with respect to patient access to Johnson & Johnson Immunology therapies. The FRM spends significant time on-site with HCPs (up to 50%), assessing education needs and coordinating with internal stakeholders.

The FRM responsibilities include supporting patient access and adherence through collaboration with the Patient Engagement and Customer Solutions (PECS) organization and other internal teams, and ensuring education on reimbursement processes, coverage, and claims.

Primary Responsibilities

• Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, and coding requirements for local and national payer types.
• Collaborate with field support teams (sales, account managers) and serve as reimbursement expert for the local team.
• Address critical access and affordability issues for patients with urgency.
• Partner with managed care colleagues to understand current policies and changes.
• Provide field-based reimbursement and access support, education, and problem solving aligned to FRM Rules of Engagement.
• Build strong, trust-based relationships with customers in assigned Immunology accounts.
• Manage territory logistics, routing, and account business planning.
• Maintain knowledge of market dynamics, including coverage and coding requirements.
• Grow knowledge of hub and specialty distribution channels to support patient needs.
• Collaborate with internal J&J departments (marketing, sales, medical science, SCG, IBG, HCC, PECS) and serve as SME on access and affordability across payer types (e.g., Medicare, Medicaid, Commercial).
• Ensure compliance with ethical, legal, and training requirements.

Market Access Expertise

• Extensive knowledge of medication access channels (pharmacy and medical benefits, including buy & bill and AOB) across multiple sites of care.
• Stays current on product coverage, access knowledge, marketplace conditions, and stakeholder practices to deliver effective materials.
• Adapts to changes in the healthcare ecosystem to customize resourcing and messaging to HCPs and staff.

Qualifications

Required

• Bachelor’s degree (healthcare or business/public administration preferred); MBA or MPH preferred.
• Minimum of 5 years of relevant professional experience.
• Experience in Account Management and/or Reimbursement in hospital/provider settings; strong customer relationships.
• Expertise with both pharmacy and medical/buy & bill benefits, coding, and billing.
• Reimbursement or managed care experience (revenue cycle, buy-and-bill, prior authorization, coding, appeals).
• Ability to collaborate across a matrix organization and influence stakeholders.
• Problem-solving skills for challenging access scenarios.
• Experience with patient support HUB services.
• Valid US driver’s license and driving record meeting company standards.
• Ability to travel up to 50%.
• Permanent residence in the listed territory.

Preferred

• Immunology disease state experience.
• Advanced degree and/or certifications in prior authorization and/or 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 (coding, coverage, and payment).
• Experience with Salesforce CRM and Microsoft Office.

Benefits and Equity

Johnson & Johnson is an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, or protected veteran status. Accommodations are available for applicants with disabilities upon request.

Other

• Seniority level: Not Applicable
• Employment type: Full-time
• Job function: Finance and Sales
• Industries: Hospitals and Health Care

For additional pay transparency information: base pay range is $100,000 - $175,000. Benefits details available at the company site.

Note

The information above reflects the job posting and is subject to change. This description does not create an employment contract.

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