Field Reimbursement Manager (Immunology Rheumatology) (Charleston, WV) Johnson &

Overview

Field Reimbursement Manager (Immunology Rheumatology) (Charleston, WV) Johnson & Johnson HCS, Inc. This field-based role will cover Charleston, Morgantown, Huntington, Blacksburg WV and Roanoke, VA territory within Johnson & Johnson Innovative Medicines Patient Engagement and Customer Solutions (PECS) team. PECS is committed to improving patient experience by providing personalized, seamless, and supportive access to therapies across the portfolio.

About Johnson & Johnson Innovative Medicine: our work is informed by patients and aimed at developing medicines of tomorrow. Learn more at

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 J&J Immunology therapies. The FRM will spend time on-site with HCPs (up to 50%), assess education needs, and collaborate with internal stakeholders to address access and affordability challenges.

Key focus areas include helping patients start and stay on their medicines, assisting with onboarding and adherence, and ensuring access to therapies across payer types (Medicare, Medicaid, Commercial). The role supports patients throughout the treatment journey and works to resolve barriers to fulfillment.

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 (sales representatives, key account managers) and serve as reimbursement expert for the local team.
• Address critical access and affordability issues for patients with urgency and responsiveness.
• 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 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 improve practice and patient support.
• Collaborate with internal J&J departments and serve as subject matter expert on education and insights on access and affordability across multiple payer types and plans (Medicare, Medicaid Managed Care, Commercial).
• Ensure compliance with ethical, legal, and company training standards, and complete required trainings in a timely manner.

Market Access Expertise

• Extensive knowledge of medication access channels (pharmacy and medical benefits, buy & bill and/or assignment of benefit across multiple sites of care).
• Stay current on changes in product coverage and access, marketplace conditions, and stakeholder practices to optimally deliver approved materials.
• Adapt 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 MBA or MPH is preferred.
• Minimum of 5 years of relevant professional experience.
• Account Management and/or Reimbursement experience in hospital or provider office settings with strong customer relationships.
• Demonstrated expertise with both pharmacy and medical/buy & bill benefits, coding, and billing.
• Reimbursement or relevant managed care experience (revenue cycle, buy-and-bill, prior authorization, coding, and appeals).
• Ability to build relationships, collaborate, and influence across a matrix organization.
• Strong problem-solving ability to navigate access scenarios and identify timely solutions.
• Experience with patient support HUB services.
• Valid US drivers 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 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 of pharmaceutical and biotechnology products.
• Excellent technical knowledge in payer policy, including all elements of reimbursement (coding, coverage, and payment).
• Experience with Salesforce CRM, Microsoft Word, and Excel.

#FRM2025

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.

Johnson & Johnson is committed to an inclusive interview process. If you are an individual with a disability and would like to request an accommodation, please contact us via or AskGS for accommodation resources.

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