Johnson & Johnson
Field Reimbursement Manager (Immunology Dermatology)– (Lancaster, OH) – Johnson
Johnson & Johnson, Columbus, Ohio, United States, 43224
Overview
Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager. This field-based role covers the Columbus, Lancaster, Cincinnati, Newark, and Chillicothe territories. PECS is committed to setting the standard on patient experience, building more personalized, seamless, and supportive experiences to help patients start and stay on treatments across the portfolio. About Innovative Medicine
Our expertise in Innovative Medicine is informed 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 Job Description
An important aspect of patient unmet needs 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 the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs) and their office 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 and influenced by personal experiences and beliefs, support networks, payer dynamics, and socioeconomic factors. J&J aims to create a personalized, helpful, and hopeful experience. Primary 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 (sales representatives, key account managers) and serve as reimbursement expert 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 creative problem solving aligned to FRM Rules of Engagement. Build strong, trust-based relationships with customers in 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 Johnson & Johnson departments (marketing, sales, medical science, SCG, IBG, HCC, PECS) and 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 completion of 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, marketplace conditions, and stakeholder practices to deliver effective materials. Understand and adapt to the evolving 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 or provider office settings with strong customer relationships. Demonstrated expertise with both 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 processes). Ability to establish relationships, collaborate, and influence across a matrix organization. Strong 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 compliant with company standards. Ability to travel up to 50% and reside permanently in the listed territory. PREFERRED Immunology disease state experience. Advanced degree and/or certifications in prior authorization, 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/biotech products. Excellent technical knowledge of payer policy including all elements of reimbursement (coding, coverage, and payment). Salary and Benefits
The anticipated base pay range is $100,000 to $175,000. The Company offers competitive, performance-based compensation including annual bonuses. Benefits typically include medical, dental, vision, life insurance, disability, retirement plans, paid time off, and other programs described in company materials. This position may be eligible for the Company’s long-term incentive program. Company and 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 law. We are committed to inclusive hiring and reasonable accommodations upon request. For accommodations, please contact us via the careers site or AskGS for assistance. Additional
Job code: FRM2025 | LI-Remote
#J-18808-Ljbffr
Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager. This field-based role covers the Columbus, Lancaster, Cincinnati, Newark, and Chillicothe territories. PECS is committed to setting the standard on patient experience, building more personalized, seamless, and supportive experiences to help patients start and stay on treatments across the portfolio. About Innovative Medicine
Our expertise in Innovative Medicine is informed 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 Job Description
An important aspect of patient unmet needs 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 the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs) and their office 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 and influenced by personal experiences and beliefs, support networks, payer dynamics, and socioeconomic factors. J&J aims to create a personalized, helpful, and hopeful experience. Primary 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 (sales representatives, key account managers) and serve as reimbursement expert 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 creative problem solving aligned to FRM Rules of Engagement. Build strong, trust-based relationships with customers in 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 Johnson & Johnson departments (marketing, sales, medical science, SCG, IBG, HCC, PECS) and 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 completion of 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, marketplace conditions, and stakeholder practices to deliver effective materials. Understand and adapt to the evolving 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 or provider office settings with strong customer relationships. Demonstrated expertise with both 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 processes). Ability to establish relationships, collaborate, and influence across a matrix organization. Strong 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 compliant with company standards. Ability to travel up to 50% and reside permanently in the listed territory. PREFERRED Immunology disease state experience. Advanced degree and/or certifications in prior authorization, 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/biotech products. Excellent technical knowledge of payer policy including all elements of reimbursement (coding, coverage, and payment). Salary and Benefits
The anticipated base pay range is $100,000 to $175,000. The Company offers competitive, performance-based compensation including annual bonuses. Benefits typically include medical, dental, vision, life insurance, disability, retirement plans, paid time off, and other programs described in company materials. This position may be eligible for the Company’s long-term incentive program. Company and 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 law. We are committed to inclusive hiring and reasonable accommodations upon request. For accommodations, please contact us via the careers site or AskGS for assistance. Additional
Job code: FRM2025 | LI-Remote
#J-18808-Ljbffr