Johnson & Johnson MedTech
Field Reimbursement Manager (Rheumatology) - San Francisco, CA North
Johnson & Johnson MedTech, San Francisco, California, United States, 94199
Field Reimbursement Manager (Rheumatology) - San Francisco, CA North
Join Johnson & Johnson MedTech as a Field Reimbursement Manager (Rheumatology) in San Francisco, CA North. 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. Job Description: The Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager. This field-based position will include the San Francisco, North Bay, Mendocino & Antioch, CA territories. The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs) and their office staff, with respect to patient access to J&J Immunology therapies. Primary Responsibilities: Educate HCPs on product coverage, prior authorizations, and appeals, reimbursement processes, claims submissions, procedures, and coding requirements. Collaborate with field support team members 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 creative problem-solving. 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. Grow knowledge of hub and specialty distribution channels to improve practice and patient support needs. Collaborate with internal J&J departments. QUALIFICATIONS: REQUIRED Bachelor’s degree (preferably in healthcare or business/public administration). Minimum of 5 years of relevant professional experience. Account Management and/or Reimbursement experience working in the hospital and/or provider office setting. Demonstrated expertise with both pharmacy and medical/buy & bill benefits. Reimbursement or relevant managed care experience. Ability to establish relationships, collaborate, and influence across a matrix organization. Problem-solving ability to navigate challenging access scenarios. Experience in working with patient support HUB services. Valid US driver’s license and a driving record in compliance with company standards. Ability to consistently maintain up to 50% travel. Permanent residence in the listed territory. PREFERRED Immunology disease state experience. Advanced degree and/or relevant certifications in prior authorization and/or billing and coding. Strong market access acumen as it relates 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 and expertise in payer policy. Demonstrated competence with salesforce.com CRM use, Microsoft Word, and Excel. 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 federal, state, or local law. The anticipated base pay range for this position is $100,000 - $172,500.
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Join Johnson & Johnson MedTech as a Field Reimbursement Manager (Rheumatology) in San Francisco, CA North. 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. Job Description: The Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager. This field-based position will include the San Francisco, North Bay, Mendocino & Antioch, CA territories. The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs) and their office staff, with respect to patient access to J&J Immunology therapies. Primary Responsibilities: Educate HCPs on product coverage, prior authorizations, and appeals, reimbursement processes, claims submissions, procedures, and coding requirements. Collaborate with field support team members 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 creative problem-solving. 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. Grow knowledge of hub and specialty distribution channels to improve practice and patient support needs. Collaborate with internal J&J departments. QUALIFICATIONS: REQUIRED Bachelor’s degree (preferably in healthcare or business/public administration). Minimum of 5 years of relevant professional experience. Account Management and/or Reimbursement experience working in the hospital and/or provider office setting. Demonstrated expertise with both pharmacy and medical/buy & bill benefits. Reimbursement or relevant managed care experience. Ability to establish relationships, collaborate, and influence across a matrix organization. Problem-solving ability to navigate challenging access scenarios. Experience in working with patient support HUB services. Valid US driver’s license and a driving record in compliance with company standards. Ability to consistently maintain up to 50% travel. Permanent residence in the listed territory. PREFERRED Immunology disease state experience. Advanced degree and/or relevant certifications in prior authorization and/or billing and coding. Strong market access acumen as it relates 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 and expertise in payer policy. Demonstrated competence with salesforce.com CRM use, Microsoft Word, and Excel. 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 federal, state, or local law. The anticipated base pay range for this position is $100,000 - $172,500.
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