Johnson & Johnson MedTech
Field Reimbursement Manager (Immunology Rheumatology) - Orange County, CA – John
Johnson & Johnson MedTech, San Bernardino, California, United States, 92409
Overview
Field Reimbursement Manager (Immunology Rheumatology) – Orange County, CA – Johnson & Johnson HCS, Inc. 2 days ago Be among the first 25 applicants 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. Through our expertise in Innovative Medicine and MedTech, we innovate across the full spectrum of healthcare solutions to deliver breakthroughs of tomorrow and profoundly impact health for humanity. Job Function: Market Access | Job Sub Function: Reimbursement | Job Category: People Leader All Job Posting Locations: Ontario, CA; Riverside, CA; San Bernardino, CA
Job Description
Field Reimbursement Manager (Immunology Rheumatology) – Orange County, CA – Johnson & Johnson HCS, Inc. About Innovative Medicine: Our expertise is informed by patients, whose insights fuel our science-based advancements. Visionaries work on teams that save lives by developing 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. Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager. This field-based position will cover the Riverside, San Bernardino, Pomona, Corona, and Ontario, CA territories. PECS is committed to setting the standard on Patient Experience (Px) and providing personalized, seamless, and supportive experiences to help patients start and stay on treatments.
Responsibilities
An important aspect of patient unmet needs is helping them start and stay on their medicine for the best chance at treatment success. The Field Reimbursement Manager (FRM) serves 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 on-site work (up to 50%) with HCPs to assess education needs and facilitate collaboration with various stakeholders. 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 (sales representatives, key account managers) and serve as reimbursement expert for the local team. Address critical access and affordability issues for patients with 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 J&J departments (marketing, sales, medical science, SCG, IBG, HCC, and PECS). Serve as a subject matter expert regarding education and insights on access and affordability solutions across multiple payer types and plans (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 across multiple sites of care). Remain current on and anticipate changes in product coverage and access knowledge, marketplace conditions, and stakeholder practices to deliver the most effective delivery of approved materials. Understand and 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 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 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. Problem-solving ability to navigate challenging 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 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 of payer policy, including all elements of reimbursement (coding, coverage, and payment). Experience with Salesforce.com CRM, Microsoft Word, and Excel.
Compensation and Benefits
The expected base pay range is $100,000 to $175,000. This position is eligible for a company car through the Fleet program. Employee benefits include medical, dental, vision, life insurance, short- and long-term disability, broad range of other coverages, and a consolidated retirement plan (401(k)). Vacation, sick time, holiday pay, personal time, parental leave, and other leave benefits are provided per policy. Additional information can be found at the company benefits page: https://www.careers.jnj.com/employee-benefits. Johnson & Johnson is an Equal Opportunity Employer. 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 provide accommodations for applicants with disabilities upon request.
For accessibility, inquiries may be directed to https://www.jnj.com/contact-us/careers.
Additional
The following lines appear to be UI/SEO noise or artifacts and are not part of the role description and are omitted here for clarity: #FRM2025, e, Riverside, CA, 2 days ago, We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
IsExpired: false
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Field Reimbursement Manager (Immunology Rheumatology) – Orange County, CA – Johnson & Johnson HCS, Inc. 2 days ago Be among the first 25 applicants 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. Through our expertise in Innovative Medicine and MedTech, we innovate across the full spectrum of healthcare solutions to deliver breakthroughs of tomorrow and profoundly impact health for humanity. Job Function: Market Access | Job Sub Function: Reimbursement | Job Category: People Leader All Job Posting Locations: Ontario, CA; Riverside, CA; San Bernardino, CA
Job Description
Field Reimbursement Manager (Immunology Rheumatology) – Orange County, CA – Johnson & Johnson HCS, Inc. About Innovative Medicine: Our expertise is informed by patients, whose insights fuel our science-based advancements. Visionaries work on teams that save lives by developing 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. Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager. This field-based position will cover the Riverside, San Bernardino, Pomona, Corona, and Ontario, CA territories. PECS is committed to setting the standard on Patient Experience (Px) and providing personalized, seamless, and supportive experiences to help patients start and stay on treatments.
Responsibilities
An important aspect of patient unmet needs is helping them start and stay on their medicine for the best chance at treatment success. The Field Reimbursement Manager (FRM) serves 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 on-site work (up to 50%) with HCPs to assess education needs and facilitate collaboration with various stakeholders. 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 (sales representatives, key account managers) and serve as reimbursement expert for the local team. Address critical access and affordability issues for patients with 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 J&J departments (marketing, sales, medical science, SCG, IBG, HCC, and PECS). Serve as a subject matter expert regarding education and insights on access and affordability solutions across multiple payer types and plans (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 across multiple sites of care). Remain current on and anticipate changes in product coverage and access knowledge, marketplace conditions, and stakeholder practices to deliver the most effective delivery of approved materials. Understand and 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 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 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. Problem-solving ability to navigate challenging 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 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 of payer policy, including all elements of reimbursement (coding, coverage, and payment). Experience with Salesforce.com CRM, Microsoft Word, and Excel.
Compensation and Benefits
The expected base pay range is $100,000 to $175,000. This position is eligible for a company car through the Fleet program. Employee benefits include medical, dental, vision, life insurance, short- and long-term disability, broad range of other coverages, and a consolidated retirement plan (401(k)). Vacation, sick time, holiday pay, personal time, parental leave, and other leave benefits are provided per policy. Additional information can be found at the company benefits page: https://www.careers.jnj.com/employee-benefits. Johnson & Johnson is an Equal Opportunity Employer. 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 provide accommodations for applicants with disabilities upon request.
For accessibility, inquiries may be directed to https://www.jnj.com/contact-us/careers.
Additional
The following lines appear to be UI/SEO noise or artifacts and are not part of the role description and are omitted here for clarity: #FRM2025, e, Riverside, CA, 2 days ago, We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
IsExpired: false
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