Johnson & Johnson MedTech
Field Reimbursement Manager (Immunology Rheumatology)– (DENVER SOUTH) – Johnson
Johnson & Johnson MedTech, Albuquerque, New Mexico, United States, 87101
Overview
Field Reimbursement Manager (Immunology Rheumatology) – DENVER SOUTH, Johnson & Johnson HCS, Inc. This field-based role supports patient access to J&J Immunology therapies across Colorado Springs, Pueblo, Denver, Littleton and Albuquerque, NM territories. The PECS team is focused on patient experience, access, onboarding, and adherence across payer types. Job Description
An important aspect of patient care is helping patients start and stay on their medicine for the best chance at treatment success. The Field Reimbursement Manager (FRM) educates, assists, and resolves issues with healthcare providers (HCPs) and their staff regarding patient access, up to 50% on-site time with HCPs to assess education needs and facilitate collaboration with stakeholders. Join us in developing treatments, finding cures, and supporting patients through the treatment journey with Janssen therapies. Primary 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; serve as reimbursement expert for the local team. Act with 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 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 across multiple payer types and plans (e.g., Medicare, Medicaid Managed Care, Commercial). Execute business in accordance with ethical, legal, and compliance standards; complete required training in a timely manner. 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 product coverage and access knowledge, marketplace conditions, and stakeholder practices to deliver effective materials. Adapt 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 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; strong customer relationships. Demonstrated expertise with pharmacy and medical/buy & bill benefits, coding, and billing. Reimbursement or managed care experience (revenue cycle, buy-and-bill, prior authorization, coding, appeals). Ability to establish relationships, collaborate, and influence in a matrix organization. Problem-solving ability to navigate access scenarios and identify solutions promptly. 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%. Permanent residence 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 relating to payer approval processes and business acumen. Understanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement. Excellent knowledge of payer policy, including all elements of reimbursement (coding, coverage, payment). Experience with Salesforce CRM, Microsoft Word, and Excel. #FRM2025 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. We support applicants with disabilities and protected veterans as defined by VEVRAA and Section 503. The anticipated base pay range for this position is:
$100,000-175,000 . Benefits information: medical, dental, vision, life insurance, disability, retirement plans, and time off vary by plan and location. For details, see the company benefits page. Employment type: Full-time | Job function: Finance and Sales | Industry: Hospitals and Health Care Seniority level: Not Applicable
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Field Reimbursement Manager (Immunology Rheumatology) – DENVER SOUTH, Johnson & Johnson HCS, Inc. This field-based role supports patient access to J&J Immunology therapies across Colorado Springs, Pueblo, Denver, Littleton and Albuquerque, NM territories. The PECS team is focused on patient experience, access, onboarding, and adherence across payer types. Job Description
An important aspect of patient care is helping patients start and stay on their medicine for the best chance at treatment success. The Field Reimbursement Manager (FRM) educates, assists, and resolves issues with healthcare providers (HCPs) and their staff regarding patient access, up to 50% on-site time with HCPs to assess education needs and facilitate collaboration with stakeholders. Join us in developing treatments, finding cures, and supporting patients through the treatment journey with Janssen therapies. Primary 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; serve as reimbursement expert for the local team. Act with 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 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 across multiple payer types and plans (e.g., Medicare, Medicaid Managed Care, Commercial). Execute business in accordance with ethical, legal, and compliance standards; complete required training in a timely manner. 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 product coverage and access knowledge, marketplace conditions, and stakeholder practices to deliver effective materials. Adapt 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 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; strong customer relationships. Demonstrated expertise with pharmacy and medical/buy & bill benefits, coding, and billing. Reimbursement or managed care experience (revenue cycle, buy-and-bill, prior authorization, coding, appeals). Ability to establish relationships, collaborate, and influence in a matrix organization. Problem-solving ability to navigate access scenarios and identify solutions promptly. 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%. Permanent residence 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 relating to payer approval processes and business acumen. Understanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement. Excellent knowledge of payer policy, including all elements of reimbursement (coding, coverage, payment). Experience with Salesforce CRM, Microsoft Word, and Excel. #FRM2025 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. We support applicants with disabilities and protected veterans as defined by VEVRAA and Section 503. The anticipated base pay range for this position is:
$100,000-175,000 . Benefits information: medical, dental, vision, life insurance, disability, retirement plans, and time off vary by plan and location. For details, see the company benefits page. Employment type: Full-time | Job function: Finance and Sales | Industry: Hospitals and Health Care Seniority level: Not Applicable
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