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

Overview

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

Job Description

The Field Reimbursement Manager (FRM) is a field-based role that will support patient access to Johnson & Johnson Immunology therapies. This position will be based in Charleston, WV with territory coverage that includes Morgantown, Huntington, Blacksburg VA, and Roanoke, VA. The FRM serves as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs) and their office staff to facilitate patient access, onboarding, and adherence. The FRM may spend up to 50% of time on-site with HCPs, assessing education needs and coordinating with internal stakeholders.

PECS (Patient Engagement and Customer Solutions) aims to improve patient experience by delivering personalized, seamless, and supportive access to Janssen therapies. The FRM will educate and assist HCPs on access, reimbursement processes, and related topics, and will collaborate with cross-functional teams to support patient access and affordability across multiple payer types and plans.

Primary Responsibilities

• Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, coding requirements, and payer considerations for core and launch products.
• Collaborate with field support teams (sales representatives, key account managers) and serve as the reimbursement expert for the local team.
• Act with urgency to address critical access and affordability issues for patients.
• Partner with managed care colleagues to understand current policies and potential changes.
• Provide 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 improve practice and patient support needs.
• Collaborate with internal Johnson & Johnson departments (marketing, sales, medical science, SCG, IBG, HCC, and PECS) and serve as a subject matter expert on education and insights for access and affordability across multiple payer types and plans (e.g., Medicare, Medicaid, Commercial).
• Execute business in alignment 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, access knowledge, marketplace conditions, and stakeholder practices to deliver effective materials.
• Understand and adapt to the evolving healthcare ecosystem to tailor resourcing and messaging to HCPs and staff.

Qualifications

REQUIRED

• Bachelors degree (preferably in healthcare or business/public administration). An advanced degree (MBA or MPH) is preferred.
• Minimum of 5 years of relevant professional experience.
• Experience in Account Management and/or Reimbursement in hospital and/or provider office settings with strong customer relationships.
• Demonstrated expertise with 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 establish relationships, collaborate, and influence across a matrix organization.
• Problem-solving ability to navigate challenging access scenarios and identify timely solutions.
• Experience with patient support HUB services.
• Valid US drivers license and driving record per company standards.
• Ability to travel up to 50% and maintain permanent residence in the listed territory.

PREFERRED

• Immunology disease state experience.
• Advanced degree and/or certifications in prior authorization, 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.
• Technical knowledge in payer policy (coding, coverage, and payment).
• Experience with Salesforce.com CRM and basic Microsoft Word/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 law. We actively seek qualified candidates who are protected veterans and individuals with disabilities under VEVRAA and Section 503 of the Rehabilitation Act.

Johnson & Johnson is committed to inclusive recruitment. If you require accommodation during the hiring process, please contact us via the Johnson & Johnson careers site.