Johnson & Johnson
Field Reimbursement Manager – Immunology Dermatology – Newark, NJ – Johnson & Jo
Johnson & Johnson, Newark, New Jersey, us, 07175
Overview
Johnson & Johnson is a global leader in healthcare innovation focused on preventing, treating, and curing complex diseases. We deliver breakthroughs across Innovative Medicine and MedTech and collaborate to improve health outcomes. Learn more at the company site: https://www.jnj.com
Job Description Position: Field Reimbursement Manager (FRM) for the Patient Engagement and Customer Solutions (PECS) team within Innovative Medicine. This field-based role covers Newark, Jersey City, Elizabeth, Clifton, and Passaic, NJ territories and involves up to 50% on-site education and assistance with healthcare providers (HCPs) and their staff regarding patient access to J&J Immunology therapies. The FRM educates, assists, and resolves issues related to reimbursement and access, partnering with internal teams to support patient needs and on-going adherence.
Role purpose includes helping patients start and stay on their medicines to maximize treatment success and delivering personalized, seamless experiences across payer types.
Responsibilities
Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations for core and launch products.
Collaborate with field support teams (sales representatives, key account managers) and serve as reimbursement expert for the local team.
Address critical access and affordability issues for patients with a sense of urgency.
Partner with managed care colleagues to understand current policies and potential 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 understanding 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, and PECS) and serve as subject matter expert on education and insights for access and affordability across multiple payer types (Medicare, Medicaid, Commercial).
Execute business ethically and in compliance with all training requirements.
Market Access Expertise
Extensive knowledge of medication access channels (pharmacy and medical benefits, buy & bill, AOB) across multiple sites of care.
Stay current on product coverage, access knowledge, marketplace conditions, and stakeholder practices to optimize delivery of approved materials.
Adapt to the evolving healthcare ecosystem to customize resourcing and messaging to HCPs and staff.
Qualifications REQUIRED
Bachelor’s degree (preferably in healthcare or business/public administration); MBA or MPH 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.
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, appeals).
Ability to establish relationships, collaborate, and influence across a matrix organization.
Problem-solving ability to navigate access challenges and identify timely solutions.
Experience with patient support HUB services.
Valid US driver’s license and acceptable driving record; ability to travel up to 50%.
Permanent residence in the listed territory.
PREFERRED
Immunology disease state experience.
Advanced degree or certifications in prior authorization, billing, or 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, payment).
Experience with Salesforce CRM, Microsoft Word, and Excel.
Additional Information : 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. Details on benefits and leave are provided in company resources and benefit pages.
Location-based reference: Jersey City, Newark, Elizabeth, Clifton, and Passaic, NJ. Travel up to 50%. This position may be remote or field-based as applicable. EEO statements and accommodations information available on request.
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Job Description Position: Field Reimbursement Manager (FRM) for the Patient Engagement and Customer Solutions (PECS) team within Innovative Medicine. This field-based role covers Newark, Jersey City, Elizabeth, Clifton, and Passaic, NJ territories and involves up to 50% on-site education and assistance with healthcare providers (HCPs) and their staff regarding patient access to J&J Immunology therapies. The FRM educates, assists, and resolves issues related to reimbursement and access, partnering with internal teams to support patient needs and on-going adherence.
Role purpose includes helping patients start and stay on their medicines to maximize treatment success and delivering personalized, seamless experiences across payer types.
Responsibilities
Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations for core and launch products.
Collaborate with field support teams (sales representatives, key account managers) and serve as reimbursement expert for the local team.
Address critical access and affordability issues for patients with a sense of urgency.
Partner with managed care colleagues to understand current policies and potential 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 understanding 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, and PECS) and serve as subject matter expert on education and insights for access and affordability across multiple payer types (Medicare, Medicaid, Commercial).
Execute business ethically and in compliance with all training requirements.
Market Access Expertise
Extensive knowledge of medication access channels (pharmacy and medical benefits, buy & bill, AOB) across multiple sites of care.
Stay current on product coverage, access knowledge, marketplace conditions, and stakeholder practices to optimize delivery of approved materials.
Adapt to the evolving healthcare ecosystem to customize resourcing and messaging to HCPs and staff.
Qualifications REQUIRED
Bachelor’s degree (preferably in healthcare or business/public administration); MBA or MPH 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.
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, appeals).
Ability to establish relationships, collaborate, and influence across a matrix organization.
Problem-solving ability to navigate access challenges and identify timely solutions.
Experience with patient support HUB services.
Valid US driver’s license and acceptable driving record; ability to travel up to 50%.
Permanent residence in the listed territory.
PREFERRED
Immunology disease state experience.
Advanced degree or certifications in prior authorization, billing, or 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, payment).
Experience with Salesforce CRM, Microsoft Word, and Excel.
Additional Information : 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. Details on benefits and leave are provided in company resources and benefit pages.
Location-based reference: Jersey City, Newark, Elizabeth, Clifton, and Passaic, NJ. Travel up to 50%. This position may be remote or field-based as applicable. EEO statements and accommodations information available on request.
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