Johnson & Johnson MedTech
Field Reimbursement Manager (Immunology Dermatology)– (Sioux Falls, SD) – Johnso
Johnson & Johnson MedTech, Sioux Falls, South Dakota, United States, 57102
Field Reimbursement Manager (Immunology Dermatology) – Sioux Falls, SD – Johnson & Johnson HCS, Inc.
Job Function: Market Access
Job Sub Function: Reimbursement
Job Category: People Leader
All Job Posting Locations: Rochester, Minnesota, United States; Sioux City, Iowa, United States; Sioux Falls, South Dakota, United States; Waterloo, Iowa, United States
Job Description:
Field Reimbursement Manager (Immunology Dermatology) – Sioux Falls, SD. This field-based role covers Sioux Falls, SD; Rochester and Mankato, MN; Waterloo and Sioux City, IA territories as part of the Johnson & Johnson Innovative Medicine Patient Engagement and Customer Solutions (PECS) team.
About Innovative Medicine: Our expertise is informed and inspired by patients. You will join teams that save lives by developing medicines of tomorrow and help patients start and stay on treatments across the portfolio.
PECS is committed to improving the Patient Experience (Px), delivering personalized, seamless, and supportive experiences across payer types and plans (Medicare, Medicaid, Commercial).
Role overview: The Field Reimbursement Manager (FRM) is the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs) and their staff concerning patient access to J&J Immunology therapies. The role includes up to 50% on-site time with HCPs, assessing education needs, and coordinating with stakeholders.
A Day in the Life: Each patient journey is unique. J&J aims to create a personalized, helpful, and hopeful experience as patients start or stay on treatment.
Primary Responsibilities
Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local, government, and others) for core and launch products.
Collaborate with field support team members (sales representatives, key account managers) and serve as a 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 changes.
Conduct field-based reimbursement and access support, education, and creative problem-solving in line with FRM Rules of Engagement.
Build strong, trust-based relationships with customers in assigned Immunology accounts.
Manage territory logistics, routing, and account business planning.
Maintain knowledge of national, regional, local, and account market dynamics including coverage and coding requirements.
Grow knowledge of hub and specialty distribution channels to support practice and patient needs.
Collaborate with internal J&J departments (marketing, sales, medical science, SCG, IBG, HCC, PECS) and serve as a subject matter expert on education and affordability solutions across multiple payer types and plans (Medicare, Medicaid Managed Care, Commercial).
Execute business in accordance with ethical, legal, and compliance standards; complete required training.
Market Access Expertise
Extensive knowledge of medication access channels (pharmacy and medical benefits, buy & bill, assignment of benefit across multiple sites of care).
Stay current on changes in product coverage, 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 staff.
Required Qualifications
Bachelor’s degree (preferably in healthcare or business/public administration). MBA or MPH 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.
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, and appeals).
Ability to establish relationships, collaborate, and influence across a matrix organization.
Problem-solving ability to navigate complex access scenarios and identify timely solutions.
Experience with patient support HUB services.
Valid US driver’s license and driving record per 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.com CRM, Microsoft Word, and Excel.
Compensation and Benefits The anticipated base pay range is $100,000 - $175,000. This position is eligible to participate in company-sponsored benefits, retirement plans, and time-off programs as described by policy documents.
Equal Opportunity Employer: Johnson & Johnson is an equal opportunity employer. We consider all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status, or other protected characteristics. We provide accommodations for applicants with disabilities upon request through the contact options listed on our Careers site.
About the application process: This posting does not guarantee employment. If you are interested and meet the qualifications, apply through the official Johnson & Johnson Careers portal.
Seniority level: Not Applicable
Employment type: Full-time
Job function: Finance and Sales
Industries: Hospitals and Health Care
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Job Sub Function: Reimbursement
Job Category: People Leader
All Job Posting Locations: Rochester, Minnesota, United States; Sioux City, Iowa, United States; Sioux Falls, South Dakota, United States; Waterloo, Iowa, United States
Job Description:
Field Reimbursement Manager (Immunology Dermatology) – Sioux Falls, SD. This field-based role covers Sioux Falls, SD; Rochester and Mankato, MN; Waterloo and Sioux City, IA territories as part of the Johnson & Johnson Innovative Medicine Patient Engagement and Customer Solutions (PECS) team.
About Innovative Medicine: Our expertise is informed and inspired by patients. You will join teams that save lives by developing medicines of tomorrow and help patients start and stay on treatments across the portfolio.
PECS is committed to improving the Patient Experience (Px), delivering personalized, seamless, and supportive experiences across payer types and plans (Medicare, Medicaid, Commercial).
Role overview: The Field Reimbursement Manager (FRM) is the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs) and their staff concerning patient access to J&J Immunology therapies. The role includes up to 50% on-site time with HCPs, assessing education needs, and coordinating with stakeholders.
A Day in the Life: Each patient journey is unique. J&J aims to create a personalized, helpful, and hopeful experience as patients start or stay on treatment.
Primary Responsibilities
Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local, government, and others) for core and launch products.
Collaborate with field support team members (sales representatives, key account managers) and serve as a 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 changes.
Conduct field-based reimbursement and access support, education, and creative problem-solving in line with FRM Rules of Engagement.
Build strong, trust-based relationships with customers in assigned Immunology accounts.
Manage territory logistics, routing, and account business planning.
Maintain knowledge of national, regional, local, and account market dynamics including coverage and coding requirements.
Grow knowledge of hub and specialty distribution channels to support practice and patient needs.
Collaborate with internal J&J departments (marketing, sales, medical science, SCG, IBG, HCC, PECS) and serve as a subject matter expert on education and affordability solutions across multiple payer types and plans (Medicare, Medicaid Managed Care, Commercial).
Execute business in accordance with ethical, legal, and compliance standards; complete required training.
Market Access Expertise
Extensive knowledge of medication access channels (pharmacy and medical benefits, buy & bill, assignment of benefit across multiple sites of care).
Stay current on changes in product coverage, 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 staff.
Required Qualifications
Bachelor’s degree (preferably in healthcare or business/public administration). MBA or MPH 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.
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, and appeals).
Ability to establish relationships, collaborate, and influence across a matrix organization.
Problem-solving ability to navigate complex access scenarios and identify timely solutions.
Experience with patient support HUB services.
Valid US driver’s license and driving record per 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.com CRM, Microsoft Word, and Excel.
Compensation and Benefits The anticipated base pay range is $100,000 - $175,000. This position is eligible to participate in company-sponsored benefits, retirement plans, and time-off programs as described by policy documents.
Equal Opportunity Employer: Johnson & Johnson is an equal opportunity employer. We consider all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status, or other protected characteristics. We provide accommodations for applicants with disabilities upon request through the contact options listed on our Careers site.
About the application process: This posting does not guarantee employment. If you are interested and meet the qualifications, apply through the official Johnson & Johnson Careers portal.
Seniority level: Not Applicable
Employment type: Full-time
Job function: Finance and Sales
Industries: Hospitals and Health Care
#J-18808-Ljbffr