Field Reimbursement Manager, Immunology Rheumatology - Central Jersey Territory

Field Reimbursement Manager, Immunology Rheumatology - Central Jersey Territory

Join to apply for the Field Reimbursement Manager, Immunology Rheumatology - Central Jersey Territory role at Johnson & Johnson MedTech.

Overview

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. Through our expertise in Innovative Medicine and MedTech, we innovate across the full spectrum of healthcare solutions today to deliver breakthroughs of tomorrow and improve health for humanity. Learn more at jnj.com.

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 jnj.com/innovative-medicine. Johnson & Johnson Innovative Medicines Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager; this is a field-based position serving the Toms River, Lakewood, Brick, Jackson & Freehold (NJ) 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

An important aspect of patient unmet needs includes helping them start and stay on their medicine for the best chance at treatment success. The PECS organization serves patients during their treatment journey with Janssen therapies, to help overcome challenges to fulfillment, onboarding, and adherence. The Field Reimbursement Manager (FRM) is 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. This role involves on-site engagement with HCPs (up to 50%), assessing education needs, and coordinating with internal stakeholders.

Responsibilities

• Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local, regional, government payers) for core and launch products.
• Collaborate with field support teams (sales reps, key account managers) 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.
• 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 support practice and patient needs.
• Collaborate with internal J&J departments (marketing, sales, medical science, SCG, IBG, HCC, PECS). Serve as subject matter expert on education and insights on access and affordability solutions across payer types (Medicare, Medicaid, Commercial).
• Ensure adherence to ethical, legal, and compliance standards; complete required training.

Market Access Expertise

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

Qualifications

• Bachelors degree (preferably in healthcare or business/public administration). An MBA or MPH is a plus.
• Minimum of 5 years of relevant professional experience.
• Account management and/or reimbursement experience in hospital or provider office settings, with strong customer relationship skills.
• Expertise with pharmacy and medical/buy-and-bill benefits, coding, and billing.
• Reimbursement or managed care experience (revenue cycle, buy-and-bill, prior authorization, coding, and appeals).
• Ability to collaborate across a matrix organization and influence stakeholders.
• Strong problem-solving skills to navigate access challenges 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 Qualifications

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

Compensation and Benefits

The anticipated base pay range for this position is $100,000 $175,000. Eligible employees and dependents may participate in medical, dental, vision, life insurance, disability, and other standard benefits. Eligible for retirement plan (401(k)) and long-term incentive programs. Paid time off includes vacation, sick time, holidays, and family-friendly leave as described in company policy.

Equal Opportunity and Inclusion

Johnson & Johnson is an Equal Opportunity Employer. All qualified applicants will receive consideration 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 are committed to inclusive interview processes. If you require accommodation, please contact us via the careers site or request accommodation resources.

Locations and Travel

Territory includes Toms River, Lakewood, Brick, Jackson, and Freehold, NJ. This is a field-based role with up to 50% travel.