Johnson & Johnson MedTech
Field Reimbursement Manager (Immunology Rheumatology) - San Francisco South, CA
Johnson & Johnson MedTech, Santa Clara, California, us, 95053
Overview
Field Reimbursement Manager (Immunology Rheumatology) - San Francisco South, CA – Johnson & Johnson HCS, Inc.
Join to apply for the Field Reimbursement Manager (Immunology Rheumatology) - San Francisco South, CA – Johnson & Johnson HCS, Inc. role at Johnson & Johnson MedTech.
At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we innovate across the full spectrum of healthcare solutions today to deliver breakthroughs of tomorrow.
Learn more at https://www.jnj.com
Job Description The Field Reimbursement Manager (FRM) is the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs) and their staff regarding patient access to Johnson & Johnson Immunology therapies. This role involves on-site engagement with HCPs (up to 50% of time), assessing education needs, and facilitating collaboration with various stakeholders.
PECS (Patient Engagement and Customer Solutions) is recruiting for a Field Reimbursement Manager serving San Jose, Salinas, Sunnyvale, San Mateo, and Santa Clara, CA territories. PECS focuses on patient experience (Px) by delivering personalized, seamless, and supportive experiences to help patients start and stay on treatments across the portfolio.
Roles and responsibilities include educating HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local, regional, and government payers) for core and launch products.
Responsibilities
Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations.
Collaborate with field support team members (sales representatives, key 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 potential future changes.
Conduct 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 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 support practice and patient needs.
Collaborate with internal J&J departments (marketing, sales, medical science, SCG, IBG, HCC, PECS) and act as subject matter expert on access and affordability solutions across payer types and plans (e.g., Medicare, Medicaid Managed Care, 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/or assignment of benefits across multiple sites of care).
Stay current on changes in product coverage and access, marketplace conditions, and stakeholder practices to optimize delivery of approved materials.
Adapt to the healthcare ecosystem to tailor resourcing and messaging to HCPs and their staff.
Qualifications Required
Bachelor’s degree (healthcare or business/public administration preferred). MBA or MPH is a plus.
Minimum of 5 years of relevant professional experience.
Account Management and/or Reimbursement experience in hospital and/or provider office settings.
Expertise with pharmacy and medical/buy & bill benefits, coding, and billing.
Reimbursement or managed care experience (revenue cycle, buy-and-bill, prior authorization, coding, and appeals).
Ability to build relationships, collaborate, and influence across a matrix organization.
Problem-solving ability to navigate access scenarios and implement solutions quickly.
Experience with patient support HUB services.
Valid US driver’s license and driving record compliant with company standards.
Ability to travel up to 50%.
Permanent residence in the listed territory.
Preferred
Immunology disease state experience.
Advanced degree or certifications in prior authorization and/or billing and coding.
Strong market access acumen related to payer approval processes.
Understanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement.
Payer policy expertise (coding, coverage, payment).
Experience with Salesforce.com CRM, Microsoft Word, and Excel.
Compensation and Benefits The expected base pay range is $100,000 to $175,000. This position is eligible for a company car through the Fleet program.
Employee benefits include medical, dental, vision, life insurance, short- and long-term disability, business accident insurance, group legal insurance, retirement plan (401(k)), and paid time off as outlined by policy. Vacation, sick time, holidays, parental leave, and other leave benefits are detailed in company policy.
For more information on benefits, see https://www.careers.jnj.com/employee-benefits.
Equal Opportunity 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 law. We support applicants with disabilities and protected veterans as defined by VEVRAA and the Rehabilitation Act.
If you require an accommodation during the interview process, please contact us via https://www.jnj.com/contact-us/careers.
Locations and Additional Info
Field Reimbursement Manager – Immunology Rheumatology, San Francisco South, CA
Territories include San Jose, Salinas, Sunnyvale, San Mateo, Santa Clara, CA
#J-18808-Ljbffr
Join to apply for the Field Reimbursement Manager (Immunology Rheumatology) - San Francisco South, CA – Johnson & Johnson HCS, Inc. role at Johnson & Johnson MedTech.
At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we innovate across the full spectrum of healthcare solutions today to deliver breakthroughs of tomorrow.
Learn more at https://www.jnj.com
Job Description The Field Reimbursement Manager (FRM) is the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs) and their staff regarding patient access to Johnson & Johnson Immunology therapies. This role involves on-site engagement with HCPs (up to 50% of time), assessing education needs, and facilitating collaboration with various stakeholders.
PECS (Patient Engagement and Customer Solutions) is recruiting for a Field Reimbursement Manager serving San Jose, Salinas, Sunnyvale, San Mateo, and Santa Clara, CA territories. PECS focuses on patient experience (Px) by delivering personalized, seamless, and supportive experiences to help patients start and stay on treatments across the portfolio.
Roles and responsibilities include educating HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local, regional, and government payers) for core and launch products.
Responsibilities
Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations.
Collaborate with field support team members (sales representatives, key 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 potential future changes.
Conduct 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 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 support practice and patient needs.
Collaborate with internal J&J departments (marketing, sales, medical science, SCG, IBG, HCC, PECS) and act as subject matter expert on access and affordability solutions across payer types and plans (e.g., Medicare, Medicaid Managed Care, 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/or assignment of benefits across multiple sites of care).
Stay current on changes in product coverage and access, marketplace conditions, and stakeholder practices to optimize delivery of approved materials.
Adapt to the healthcare ecosystem to tailor resourcing and messaging to HCPs and their staff.
Qualifications Required
Bachelor’s degree (healthcare or business/public administration preferred). MBA or MPH is a plus.
Minimum of 5 years of relevant professional experience.
Account Management and/or Reimbursement experience in hospital and/or provider office settings.
Expertise with pharmacy and medical/buy & bill benefits, coding, and billing.
Reimbursement or managed care experience (revenue cycle, buy-and-bill, prior authorization, coding, and appeals).
Ability to build relationships, collaborate, and influence across a matrix organization.
Problem-solving ability to navigate access scenarios and implement solutions quickly.
Experience with patient support HUB services.
Valid US driver’s license and driving record compliant with company standards.
Ability to travel up to 50%.
Permanent residence in the listed territory.
Preferred
Immunology disease state experience.
Advanced degree or certifications in prior authorization and/or billing and coding.
Strong market access acumen related to payer approval processes.
Understanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement.
Payer policy expertise (coding, coverage, payment).
Experience with Salesforce.com CRM, Microsoft Word, and Excel.
Compensation and Benefits The expected base pay range is $100,000 to $175,000. This position is eligible for a company car through the Fleet program.
Employee benefits include medical, dental, vision, life insurance, short- and long-term disability, business accident insurance, group legal insurance, retirement plan (401(k)), and paid time off as outlined by policy. Vacation, sick time, holidays, parental leave, and other leave benefits are detailed in company policy.
For more information on benefits, see https://www.careers.jnj.com/employee-benefits.
Equal Opportunity 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 law. We support applicants with disabilities and protected veterans as defined by VEVRAA and the Rehabilitation Act.
If you require an accommodation during the interview process, please contact us via https://www.jnj.com/contact-us/careers.
Locations and Additional Info
Field Reimbursement Manager – Immunology Rheumatology, San Francisco South, CA
Territories include San Jose, Salinas, Sunnyvale, San Mateo, Santa Clara, CA
#J-18808-Ljbffr