Johnson & Johnson MedTech
Field Reimbursement Manager - Immunology Rheumatology– Seattle South, WA – Johns
Johnson & Johnson MedTech, Tacoma, Washington, us, 98417
Overview
Field Reimbursement Manager - Immunology Rheumatology – Seattle South, WA – Johnson & Johnson HCS, Inc. Join to apply for the Field Reimbursement Manager role at Johnson & Johnson MedTech. This field-based position covers Seattle, WA; Tacoma, WA; Vancouver, WA; Portland, OR; and Salem, OR territories. About Innovative Medicine
Our expertise in Innovative Medicine is informed and inspired 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 https://www.jnj.com/innovative-medicine Job Description
An important aspect of patient’s unmet need includes helping them start and stay on their medicine for the best chance at treatment success. The Patient Engagement and Customer Solutions (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 up to 50% on-site time with HCPs, assessing education needs and facilitating collaboration with various stakeholders. Market Access Expertise:
Extensive knowledge of medication access channels (pharmacy and medical benefits including buy & bill and/or assignment of benefit across multiple sites of care). Remains current on changes in product coverage and access knowledge, marketplace conditions, and stakeholder practices. Adapts to the changing healthcare ecosystem to customize resourcing and messaging to HCPs and HCP staff. 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 team members such as sales representatives and 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 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 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 J&J departments and serve as subject matter expert regarding education and insights on access and affordability solutions across multiple payer types and plans (e.g., Medicare, Medicaid Managed Care, Commercial). Execute business in accordance with ethical, legal, and compliance standards, including timely completion of required training. Qualifications
Required
Bachelor’s degree (preferably in healthcare or business/public administration). An advanced degree (MBA or MPH) is preferred. Minimum of 5 years of relevant professional experience. Account Management and/or Reimbursement experience in hospital and/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 processes). Ability to establish relationships, collaborate, and influence across a matrix organization. Problem-solving ability to navigate challenging access scenarios and identify timely solutions. Experience working with patient support HUB services. Valid US driver’s license and driving record compliant with company standards. Ability to travel up to 50% and reside permanently 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 (coding, coverage, and payment). Experience with Salesforce.com CRM and Microsoft Word/Excel. Compensation Base pay range: $100,000 - $175,000. This position is eligible for Company-sponsored benefits, retirement plans, and an incentive program per plan terms. Additional information on benefits can be found at the Johnson & Johnson careers site. Seniority level
Not Applicable Employment type
Full-time Job function
Finance and Sales Industries: Hospitals and Health Care Referrals increase your chances of interviewing at Johnson & Johnson MedTech. Get notified about new Field Reimbursement Manager jobs in Tacoma, WA.
#J-18808-Ljbffr
Field Reimbursement Manager - Immunology Rheumatology – Seattle South, WA – Johnson & Johnson HCS, Inc. Join to apply for the Field Reimbursement Manager role at Johnson & Johnson MedTech. This field-based position covers Seattle, WA; Tacoma, WA; Vancouver, WA; Portland, OR; and Salem, OR territories. About Innovative Medicine
Our expertise in Innovative Medicine is informed and inspired 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 https://www.jnj.com/innovative-medicine Job Description
An important aspect of patient’s unmet need includes helping them start and stay on their medicine for the best chance at treatment success. The Patient Engagement and Customer Solutions (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 up to 50% on-site time with HCPs, assessing education needs and facilitating collaboration with various stakeholders. Market Access Expertise:
Extensive knowledge of medication access channels (pharmacy and medical benefits including buy & bill and/or assignment of benefit across multiple sites of care). Remains current on changes in product coverage and access knowledge, marketplace conditions, and stakeholder practices. Adapts to the changing healthcare ecosystem to customize resourcing and messaging to HCPs and HCP staff. 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 team members such as sales representatives and 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 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 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 J&J departments and serve as subject matter expert regarding education and insights on access and affordability solutions across multiple payer types and plans (e.g., Medicare, Medicaid Managed Care, Commercial). Execute business in accordance with ethical, legal, and compliance standards, including timely completion of required training. Qualifications
Required
Bachelor’s degree (preferably in healthcare or business/public administration). An advanced degree (MBA or MPH) is preferred. Minimum of 5 years of relevant professional experience. Account Management and/or Reimbursement experience in hospital and/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 processes). Ability to establish relationships, collaborate, and influence across a matrix organization. Problem-solving ability to navigate challenging access scenarios and identify timely solutions. Experience working with patient support HUB services. Valid US driver’s license and driving record compliant with company standards. Ability to travel up to 50% and reside permanently 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 (coding, coverage, and payment). Experience with Salesforce.com CRM and Microsoft Word/Excel. Compensation Base pay range: $100,000 - $175,000. This position is eligible for Company-sponsored benefits, retirement plans, and an incentive program per plan terms. Additional information on benefits can be found at the Johnson & Johnson careers site. Seniority level
Not Applicable Employment type
Full-time Job function
Finance and Sales Industries: Hospitals and Health Care Referrals increase your chances of interviewing at Johnson & Johnson MedTech. Get notified about new Field Reimbursement Manager jobs in Tacoma, WA.
#J-18808-Ljbffr