Johnson & Johnson MedTech
Field Reimbursement Manager (Immunology Dermatology)– (Springfield, IL Territory
Johnson & Johnson MedTech, Belleville, Illinois, United States, 62226
Job Description
Field Reimbursement Manager (Immunology Dermatology) – (Springfield, IL Territory) - Johnson & Johnson HCS, Inc.
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
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 Springfield, Peoria, Champaign, Belleville, and Bloomington, IL. 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.
Overview 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 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. This role involves on-site engagement with HCPs (up to 50%).
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 experts 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 future changes.
Conduct field-based reimbursement and access support, education and 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) and serve as subject matter expert on education and insights on access and affordability solutions across payer types.
Execute business in accordance with the highest ethical, legal, and compliance standards, including timely completion of required training.
Market Access Expertise
Extensive knowledge of medication access channels (pharmacy and medical benefits including buy & bill and/or AOB) across multiple sites of care.
Stay current on product coverage, 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, with strong customer relationships.
Expertise with pharmacy and medical/buy & bill benefits, coding, and billing.
Reimbursement or 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 access challenges and identify timely solutions.
Experience with patient support HUB services.
Valid US driver’s license and driving record in compliance with company standards.
Ability to travel up to 50% and reside permanently in the listed territory.
Preferred Qualifications
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 knowledge of payer policy (coding, coverage, and payment).
Proficiency with Salesforce CRM, Microsoft Word, and Excel.
Equal Opportunity 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. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act. For accommodations during the interview process, please contact Johnson & Johnson via the Careers site or AskGS.
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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
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 Springfield, Peoria, Champaign, Belleville, and Bloomington, IL. 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.
Overview 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 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. This role involves on-site engagement with HCPs (up to 50%).
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 experts 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 future changes.
Conduct field-based reimbursement and access support, education and 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) and serve as subject matter expert on education and insights on access and affordability solutions across payer types.
Execute business in accordance with the highest ethical, legal, and compliance standards, including timely completion of required training.
Market Access Expertise
Extensive knowledge of medication access channels (pharmacy and medical benefits including buy & bill and/or AOB) across multiple sites of care.
Stay current on product coverage, 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, with strong customer relationships.
Expertise with pharmacy and medical/buy & bill benefits, coding, and billing.
Reimbursement or 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 access challenges and identify timely solutions.
Experience with patient support HUB services.
Valid US driver’s license and driving record in compliance with company standards.
Ability to travel up to 50% and reside permanently in the listed territory.
Preferred Qualifications
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 knowledge of payer policy (coding, coverage, and payment).
Proficiency with Salesforce CRM, Microsoft Word, and Excel.
Equal Opportunity 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. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act. For accommodations during the interview process, please contact Johnson & Johnson via the Careers site or AskGS.
Referrals increase your chances of interviewing at Johnson & Johnson MedTech. Sign in to set job alerts for “Field Reimbursement Manager” roles.
#J-18808-Ljbffr