Johnson & Johnson MedTech
Field Reimbursement Manager - Immunology Dermatology – Los Angeles North, CA –
Johnson & Johnson MedTech, Pasadena, California, United States, 91122
Field Reimbursement Manager - Immunology Dermatology – Los Angeles North, CA – Johnson & Johnson HCS, Inc.
Join to apply for the Field Reimbursement Manager - Immunology Dermatology – Los Angeles North, 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. Learn more at https://www.jnj.com
Job Function: Market Access
Job Sub Function: Reimbursement
Job Category: Professional
Locations: Los Angeles, Pasadena, Venice, Inglewood, Santa Monica, Beverly Hills, Glendale, CA
About Innovative Medicine Our expertise in Innovative Medicine is informed by patients, whose insights fuel our science-based advancements. Visionaries like you work on teams that save lives by developing the medicines of tomorrow. Join us in developing treatments, finding cures, and pioneering the path from lab to life while championing patients every step of the way. Learn more at https://www.jnj.com/innovative-medicine
Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager. This field-based role covers the Los Angeles, CA; Pasadena, CA; Venice, CA; Inglewood, CA; Santa Monica, CA; Beverly Hills, CA; and Glendale, CA territories.
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 The Field Reimbursement Manager (FRM) serves as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs) and their office staff regarding patient access to J&J Immunology therapies. The role involves on-site engagement with HCPs (up to 50%), assessing education needs, and facilitating collaboration with various stakeholders.
A Day in the Life
Every patient’s healthcare experience is unique. J&J aims to create a personalized, helpful, and hopeful experience.
Primary 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 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 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 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 and serve as SME regarding education and insights on access and affordability solutions across payer types (Medicare, Medicaid, Commercial).
Execute business with high ethical, legal, and compliance standards; complete required training.
Market Access Expertise
Knowledge of medication access channels (pharmacy and medical benefits, buy & bill, AOB) across multiple sites of care.
Stay current on product coverage, access knowledge, and marketplace conditions to deliver effective materials.
Adapt to the changing healthcare ecosystem to customize resourcing and messaging to HCPs.
Qualifications REQUIRED
Bachelor’s degree in healthcare or business/public administration; MBA/MPH preferred.
Minimum of 5 years of relevant professional experience.
Account Management and/or Reimbursement experience in hospital or provider settings.
Expertise with pharmacy and medical/buy & bill benefits, coding, and billing.
Reimbursement or managed care experience (revenue cycle, buy-and-bill, PA, coding, appeals).
Ability to build relationships across a matrix organization and influence stakeholders.
Strong problem-solving skills for access challenges.
Experience with patient support HUB services.
Valid US driver’s license; ability to travel up to 50% and reside in listed territory.
PREFERRED
Immunology disease state experience.
Advanced degrees or certifications in prior authorization and/or billing and coding.
Market access acumen related to payer approval processes.
Understanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement.
Technical knowledge of payer policy with all elements of reimbursement.
Experience with Salesforce CRM, 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 law. We accommodate applicants with disabilities through our careers site.
The anticipated base pay range for this position is: $100,000 - $175,000.
Subject to plan terms, employees may participate in eligible benefit programs and retirement plans. See https://www.careers.jnj.com/employee-benefits for details.
Not Applicable: Seniority level
Full-time employment
Job function: Finance and Sales; Industries: Hospitals and Health Care
Referrals increase your chances of interviewing at Johnson & Johnson MedTech. Get notified about new Field Reimbursement Manager jobs in Pasadena, CA.
Field Reimbursement Manager (Immunology Rheumatology) – Los Angeles, CA – Johnson & Johnson HCS, Inc. (post)
#J-18808-Ljbffr
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. Learn more at https://www.jnj.com
Job Function: Market Access
Job Sub Function: Reimbursement
Job Category: Professional
Locations: Los Angeles, Pasadena, Venice, Inglewood, Santa Monica, Beverly Hills, Glendale, CA
About Innovative Medicine Our expertise in Innovative Medicine is informed by patients, whose insights fuel our science-based advancements. Visionaries like you work on teams that save lives by developing the medicines of tomorrow. Join us in developing treatments, finding cures, and pioneering the path from lab to life while championing patients every step of the way. Learn more at https://www.jnj.com/innovative-medicine
Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager. This field-based role covers the Los Angeles, CA; Pasadena, CA; Venice, CA; Inglewood, CA; Santa Monica, CA; Beverly Hills, CA; and Glendale, CA territories.
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 The Field Reimbursement Manager (FRM) serves as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs) and their office staff regarding patient access to J&J Immunology therapies. The role involves on-site engagement with HCPs (up to 50%), assessing education needs, and facilitating collaboration with various stakeholders.
A Day in the Life
Every patient’s healthcare experience is unique. J&J aims to create a personalized, helpful, and hopeful experience.
Primary 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 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 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 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 and serve as SME regarding education and insights on access and affordability solutions across payer types (Medicare, Medicaid, Commercial).
Execute business with high ethical, legal, and compliance standards; complete required training.
Market Access Expertise
Knowledge of medication access channels (pharmacy and medical benefits, buy & bill, AOB) across multiple sites of care.
Stay current on product coverage, access knowledge, and marketplace conditions to deliver effective materials.
Adapt to the changing healthcare ecosystem to customize resourcing and messaging to HCPs.
Qualifications REQUIRED
Bachelor’s degree in healthcare or business/public administration; MBA/MPH preferred.
Minimum of 5 years of relevant professional experience.
Account Management and/or Reimbursement experience in hospital or provider settings.
Expertise with pharmacy and medical/buy & bill benefits, coding, and billing.
Reimbursement or managed care experience (revenue cycle, buy-and-bill, PA, coding, appeals).
Ability to build relationships across a matrix organization and influence stakeholders.
Strong problem-solving skills for access challenges.
Experience with patient support HUB services.
Valid US driver’s license; ability to travel up to 50% and reside in listed territory.
PREFERRED
Immunology disease state experience.
Advanced degrees or certifications in prior authorization and/or billing and coding.
Market access acumen related to payer approval processes.
Understanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement.
Technical knowledge of payer policy with all elements of reimbursement.
Experience with Salesforce CRM, 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 law. We accommodate applicants with disabilities through our careers site.
The anticipated base pay range for this position is: $100,000 - $175,000.
Subject to plan terms, employees may participate in eligible benefit programs and retirement plans. See https://www.careers.jnj.com/employee-benefits for details.
Not Applicable: Seniority level
Full-time employment
Job function: Finance and Sales; Industries: Hospitals and Health Care
Referrals increase your chances of interviewing at Johnson & Johnson MedTech. Get notified about new Field Reimbursement Manager jobs in Pasadena, CA.
Field Reimbursement Manager (Immunology Rheumatology) – Los Angeles, CA – Johnson & Johnson HCS, Inc. (post)
#J-18808-Ljbffr