Field Reimbursement Manager (Immunology Rheumatology) (Detroit North, MI) Johnso

Field Reimbursement Manager (Immunology Rheumatology) (Detroit North, MI) Johnson & Johnson HCS, Inc.

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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

Job Function: Market Access

Job Sub Function: Reimbursement

Job Category: People Leader

Location: Detroit, Michigan; also serving Flint, Saginaw, MI areas as listed in the posting

Job Description:

Field Reimbursement Manager (Immunology Rheumatology) Detroit North, MI. This field-based position will include Flint, Detroit, Warren, Sterling Heights and Saginaw, MI territories. The PECS team is recruiting for a Field Reimbursement Manager who will educate and assist healthcare providers (HCPs) and their staff regarding patient access to Johnson & Johnson Immunology therapies. The role involves up to 50% on-site time with HCPs, assessing education needs and coordinating with internal stakeholders.

About Innovative Medicine

Our expertise in Innovative Medicine is informed by patients, whose insights fuel our science-based advancements. 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

Primary 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 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 Johnson & Johnson departments (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 (e.g., Medicare, Medicaid, Commercial).
• Execute business in accordance with ethical, legal, and compliance standards, including timely completion of required training.

Market Access Expertise:

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

REQUIRED Qualifications:

• Bachelors degree (Healthcare or business/public administration preferred). MBA or MPH preferred.
• Minimum of 5 years of relevant professional experience.
• Account Management and/or Reimbursement experience in hospital or provider office settings, building strong relationships.
• 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 establish relationships, collaborate, and influence across a matrix organization.
• Problem-solving ability to navigate access scenarios and identify solutions in a timely manner.
• Experience with patient support HUB services.
• Valid US drivers license and acceptable driving record; ability to travel up to 50%.
• Permanent residence in the listed territory.

PREFERRED Qualifications:

• Immunology disease state experience.
• Advanced degree and/or relevant 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/biotech products.
• Excellent knowledge of payer policy (coding, coverage, payment).
• Experience with Salesforce CRM, Microsoft Word, and Excel.

#FRM2025

EEO Statement: 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.

Compensation: The anticipated base pay range for this position is $100,000 - $175,000. This position is eligible for Company benefits including health, retirement, time off, and long-term incentives, in accordance with plan terms.

Employment Type: Full-time

Seniority level: Not Applicable

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