Johnson & Johnson MedTech
Field Reimbursement Manager (Immunology Dermatology)– (Springfield, IL Territory
Johnson & Johnson MedTech, Peoria, Illinois, us, 61639
Overview
Field Reimbursement Manager (Immunology Dermatology) – (Springfield, IL Territory) – Johnson & Johnson HCS, Inc.
Our work in Innovative Medicine focuses on patient-centered science-based advancements. Learn more at https://www.jnj.com
PECS is recruiting for a Field Reimbursement Manager responsible for education, assistance, and issue resolution with healthcare providers (HCPs) and their office staff regarding patient access to J&J Immunology therapies. This field-based role includes Springfield, Peoria, Champaign, Belleville, and Bloomington, IL. The position involves up to 50% on-site engagement with HCPs to assess education needs and coordinate 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 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 experts 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 (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, 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 across multiple sites of care).
Stay current on changes in product coverage and access knowledge, marketplace conditions, and stakeholder practices to deliver effective materials.
Understand and adapt to the changing healthcare ecosystem to customize resourcing and messaging to HCPs and HCP staff.
Required Qualifications
Bachelor’s degree (preferably in healthcare or business/public administration). An 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.
Demonstrated 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, and appeals).
Ability to establish relationships, collaborate, and influence across a matrix organization.
Problem-solving ability to navigate challenging access scenarios and identify solutions promptly.
Experience in working with patient support HUB services.
Valid US driver’s license and driving record in compliance 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.
Technical knowledge in payer policy (coding, coverage, payment).
Experience with Salesforce CRM and Microsoft Word/Excel.
#FRM2025
EEO and Employment 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. Reasonable accommodation requests can be submitted via https://www.jnj.com/contact-us/careers or AskGS.
Additional details
Seniority level: Not Applicable
Employment type: Full-time
Job function: Finance and Sales
Industries: Hospitals and Health Care
#J-18808-Ljbffr
Our work in Innovative Medicine focuses on patient-centered science-based advancements. Learn more at https://www.jnj.com
PECS is recruiting for a Field Reimbursement Manager responsible for education, assistance, and issue resolution with healthcare providers (HCPs) and their office staff regarding patient access to J&J Immunology therapies. This field-based role includes Springfield, Peoria, Champaign, Belleville, and Bloomington, IL. The position involves up to 50% on-site engagement with HCPs to assess education needs and coordinate 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 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 experts 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 (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, 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 across multiple sites of care).
Stay current on changes in product coverage and access knowledge, marketplace conditions, and stakeholder practices to deliver effective materials.
Understand and adapt to the changing healthcare ecosystem to customize resourcing and messaging to HCPs and HCP staff.
Required Qualifications
Bachelor’s degree (preferably in healthcare or business/public administration). An 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.
Demonstrated 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, and appeals).
Ability to establish relationships, collaborate, and influence across a matrix organization.
Problem-solving ability to navigate challenging access scenarios and identify solutions promptly.
Experience in working with patient support HUB services.
Valid US driver’s license and driving record in compliance 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.
Technical knowledge in payer policy (coding, coverage, payment).
Experience with Salesforce CRM and Microsoft Word/Excel.
#FRM2025
EEO and Employment 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. Reasonable accommodation requests can be submitted via https://www.jnj.com/contact-us/careers or AskGS.
Additional details
Seniority level: Not Applicable
Employment type: Full-time
Job function: Finance and Sales
Industries: Hospitals and Health Care
#J-18808-Ljbffr