Field Reimbursement Manager - Immunology Dermatology Dallas Northwest, TX Johnso

Field Reimbursement Manager - Immunology Dermatology Dallas Northwest, TX Johnson & Johnson HCS, Inc.

Join to apply for the Field Reimbursement Manager - Immunology Dermatology Dallas Northwest, TX Johnson & Johnson HCS, Inc. role at Johnson & Johnson MedTech.

Overview

The Field Reimbursement Manager (FRM) is a field-based role for education, assistance, and issue resolution with healthcare providers (HCPs) and their office staff to support patient access to Johnson & Johnson Immunology therapies. This position involves up to 50% on-site time with HCPs and covers the Carrollton, TX; Denton, TX; Irving, TX; Keller, TX; and Lewisville, TX territories. The Patient Engagement and Customer Solutions (PECS) team is committed to setting the standard on Patient Experience (Px) by delivering personalized, seamless, and supportive experiences across payer types. Learn more at

Job Description

About Innovative Medicine: Our expertise is informed by patients and inspired to develop medicines of tomorrow. The FRM role will be field-based in Carrollton, Denton, Irving, Keller, and Lewisville territories and focuses on education, assistance, and issue resolution to support patient access to Janssen therapies. PECS serves patients during their treatment journey to help overcome challenges to fulfillment, onboarding, and adherence. FRM is the primary field-based lead for education and issue resolution with HCPs and their staff, with on-site activities up to 50%.

Responsibilities

• Educate HCPs on product coverage, prior authorizations and 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 (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 (pharmacy and medical benefits 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.

Qualifications

REQUIRED

• Bachelors degree (preferably in healthcare or business/public administration). An advanced business degree (MBA), or public health (MPH) is preferred.
• Minimum of 5 years of relevant professional experience
• Account Management and/or Reimbursement experience working in the hospital and/or provider office setting, building strong customer relationship.
• Demonstrated expertise with both pharmacy and medical/buy & bill benefits (as applicable), coding, and billing.
• Reimbursement or relevant 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 identifies solutions in a timely and efficient manner.
• Experience in working with patient support HUB services.
• Valid US drivers license and a driving record in compliance with company standards
• Ability to consistently maintain up to 50% travel.
• Permanent residence in the listed territory

PREFERRED

• Immunology disease state experience
• Advanced degree and/or relevant certifications in prior authorization and/or billing and coding
• Strong market access acumen as it relates to payer approval processes and business acumen.
• Understanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement of pharmaceutical and biotechnology products
• Excellent technical knowledge and expertise in payer policy, including all elements of reimbursement (coding, coverage, and payment) is preferred.
• Demonstrated competence with salesforce.com CRM use, Microsoft Word, and Excel

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 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.

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