Johnson & Johnson MedTech
Field Reimbursement Manager (Immunology Dermatology)– (Sioux Falls, SD) – Johnso
Johnson & Johnson MedTech, Sioux City, Iowa, United States, 51110
Overview
Field Reimbursement Manager (Immunology Dermatology) – Sioux Falls, SD — Johnson & Johnson HCS, Inc. 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. Learn more at https://www.jnj.com Job Function:
Market Access Job Sub Function:
Reimbursement Job Category:
People Leader All Job Posting Locations: Rochester, Minnesota, United States; Sioux City, Iowa, United States; Sioux Falls, South Dakota, United States; Waterloo, Iowa, United States 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.
Learn more at https://www.jnj.com/innovative-medicine Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will include the Sioux Falls, SD; Rochester and Mankato, MN; Waterloo and Sioux City, IA 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:
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 staff regarding patient access to J&J Immunology therapies. This role involves investing time (up to 50%) on-site with HCPs, assessing their education needs and facilitating collaboration with various stakeholders. A Day in the Life: Every patient’s healthcare experience is unique. J&J aims to create an experience that is personalized, helpful, and hopeful. Primary Responsibilities
Primary responsibilities include the following. Other duties may be assigned. Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, etc.) 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. 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 aligned to FRM Rules of Engagement. 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 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 such as marketing, sales, medical science, SCG, IBG, HCC, and PECS. 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 the highest ethical, legal, and compliance standards, including timely and successful completion of all required training. Market Access Expertise
Extensive knowledge of medication access channels (pharmacy and medical benefits including buy & bill and/or assignment of benefit (AOB) across multiple sites of care. Remains current on and anticipates changes in product coverage and access knowledge, marketplace conditions, and stakeholder practices to deliver effective delivery of approved materials. Understands and adapts to the changing healthcare ecosystem to customize resourcing and messaging to HCPs and HCP staff. Qualifications
REQUIRED Bachelor’s degree (preferably in healthcare or business/public administration). An advanced business degree (MBA) or public health (MPH) is preferred. Minimum of 5 years of relevant professional experience. Account Management and/or Reimbursement experience in hospital and/or provider office settings, building strong customer relationships. Demonstrated expertise with both pharmacy and medical/buy & bill benefits (as applicable), 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 solutions in a timely and efficient manner. 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%. 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 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 and expertise in payer policy, including all elements of reimbursement (coding, coverage, and payment). Demonstrated competence with Salesforce.com CRM, Microsoft Word, and Excel. Pay and Benefits The anticipated base pay range for this position is: $100,000 - $175,000. Subject to terms of respective plans, employees may participate in medical, dental, vision, life insurance, disability, retirement plans (401(k)), and other benefits. Time off: Vacation, Sick time, Holidays, Parental Leave, and other leave as per policy. EEO Statement: 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. Accommodations available on request: https://www.jnj.com/contact-us/careers Site information: This position is full-time. Travel up to 50% required. Location: Sioux Falls, SD, and surrounding territories.
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Field Reimbursement Manager (Immunology Dermatology) – Sioux Falls, SD — Johnson & Johnson HCS, Inc. 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. Learn more at https://www.jnj.com Job Function:
Market Access Job Sub Function:
Reimbursement Job Category:
People Leader All Job Posting Locations: Rochester, Minnesota, United States; Sioux City, Iowa, United States; Sioux Falls, South Dakota, United States; Waterloo, Iowa, United States 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.
Learn more at https://www.jnj.com/innovative-medicine Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will include the Sioux Falls, SD; Rochester and Mankato, MN; Waterloo and Sioux City, IA 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:
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 staff regarding patient access to J&J Immunology therapies. This role involves investing time (up to 50%) on-site with HCPs, assessing their education needs and facilitating collaboration with various stakeholders. A Day in the Life: Every patient’s healthcare experience is unique. J&J aims to create an experience that is personalized, helpful, and hopeful. Primary Responsibilities
Primary responsibilities include the following. Other duties may be assigned. Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, etc.) 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. 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 aligned to FRM Rules of Engagement. 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 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 such as marketing, sales, medical science, SCG, IBG, HCC, and PECS. 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 the highest ethical, legal, and compliance standards, including timely and successful completion of all required training. Market Access Expertise
Extensive knowledge of medication access channels (pharmacy and medical benefits including buy & bill and/or assignment of benefit (AOB) across multiple sites of care. Remains current on and anticipates changes in product coverage and access knowledge, marketplace conditions, and stakeholder practices to deliver effective delivery of approved materials. Understands and adapts to the changing healthcare ecosystem to customize resourcing and messaging to HCPs and HCP staff. Qualifications
REQUIRED Bachelor’s degree (preferably in healthcare or business/public administration). An advanced business degree (MBA) or public health (MPH) is preferred. Minimum of 5 years of relevant professional experience. Account Management and/or Reimbursement experience in hospital and/or provider office settings, building strong customer relationships. Demonstrated expertise with both pharmacy and medical/buy & bill benefits (as applicable), 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 solutions in a timely and efficient manner. 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%. 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 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 and expertise in payer policy, including all elements of reimbursement (coding, coverage, and payment). Demonstrated competence with Salesforce.com CRM, Microsoft Word, and Excel. Pay and Benefits The anticipated base pay range for this position is: $100,000 - $175,000. Subject to terms of respective plans, employees may participate in medical, dental, vision, life insurance, disability, retirement plans (401(k)), and other benefits. Time off: Vacation, Sick time, Holidays, Parental Leave, and other leave as per policy. EEO Statement: 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. Accommodations available on request: https://www.jnj.com/contact-us/careers Site information: This position is full-time. Travel up to 50% required. Location: Sioux Falls, SD, and surrounding territories.
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