Field Reimbursement Manager (Immunology Dermatology) (Detroit North Territory)-

Field Reimbursement Manager (Immunology Dermatology) Detroit North Territory

Field Reimbursement Manager (Immunology Dermatology) Detroit North Territory for Johnson & Johnson HCS, Inc. at Johnson & Johnson MedTech. The role is field-based with responsibilities across patient access, education, and reimbursement support in the Immunology portfolio.

Responsibilities

• Educate healthcare professionals (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 teams (sales representatives and key account managers) and serve as reimbursement experts for the local team.
• Address critical access and affordability issues for patients with urgency and accuracy.
• 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 knowledge of national, regional, local, and account 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, and PECS) and serve as subject matter expert on education and insights on access and affordability across multiple payer types (Medicare, Medicaid, Commercial).
• Ensure compliance with ethical, legal, and training requirements and complete required training on time.

Market Access Expertise

• Extensive knowledge of medication access channels (pharmacy and medical benefits, including buy & bill and/or assignment of benefit across multiple sites of care).
• Stay current on changes in product coverage and access practices to deliver effective materials and support.
• Adapt to the changing healthcare ecosystem to customize resourcing and messaging to HCPs and staff.

Required Qualifications

• Bachelors degree (healthcare or business/public administration preferred). MBA or MPH is a plus.
• Minimum of 5 years of relevant experience in account management and/or reimbursement, particularly in hospital or provider office settings.
• Experience with 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.
• Strong problem-solving skills to navigate access challenges.
• Experience with patient support HUB services.
• Valid US driver's license and ability to travel up to 50%; residence in the listed territory.

Preferred Qualifications

• Immunology disease state experience.
• Advanced degrees or certifications in prior authorization, billing, and coding.
• Market access acumen related to payer approval processes and business awareness.
• Understanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement.
• Technical knowledge in payer policy, including coding, coverage, and payment.
• Experience with Salesforce CRM, Microsoft Word, and Excel.

Location : Detroit, Michigan; Macomb, Michigan; Warren, Sterling Heights, Clinton Township, and surrounding areas.

Seniority level : Not Applicable

Employment type : Full-time

Job function : Finance and Sales

Industries : Hospitals and Health Care

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 actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act. If you require accommodation during the interview process, please contact us at the provided careers or accommodation resources.

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