Johnson & Johnson MedTech
Field Reimbursement Manager, Immunology Rheumatology - Wichita, KS Territory
Johnson & Johnson MedTech, Wichita, Kansas, United States, 67232
Field Reimbursement Manager, Immunology Rheumatology - Wichita, KS Territory
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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 today to deliver breakthroughs of tomorrow and profoundly impact health for humanity.
The 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 Wichita, Overland Park, Topeka, Kansas City and Olathe, KS territories. The FRM will serve as the primary field‑based lead for education, assistance, and issue resolution with healthcare providers and their office staff regarding patient access to J&J Immunology therapies.
Primary Responsibilities
Educate HCPs on product coverage, prior authorizations, 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 expert for the local team.
Act with a sense of 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 creative 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 the knowledge of hub and specialty distribution channels to improve practice and patient support needs.
Collaborate with internal J&J departments such as marketing, sales, medical science, SCG, IBG, HCC, and PECS, serving as subject matter expert regarding education and insights on access and affordability solutions across multiple payer types and plans.
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 (e.g., pharmacy and medical benefits including buy & bill and AOB across multiple sites of care).
Remains current on and anticipates changes in product coverage and access knowledge, marketplace conditions, and stakeholder practices to deliver the most effective delivery of approved materials.
Understands and adapts to the changing healthcare ecosystem to customize resourcing and messaging to HCPs and HCP staff.
Qualifications
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 working in hospital and/or provider office settings, building strong customer relationships.
Demonstrated expertise with both pharmacy and medical/buy & bill benefits (as applicable), 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 in a timely and efficient manner.
Experience in working with patient support HUB services.
Valid U.S. driver’s license and driving record in compliance with company standards.
Ability to consistently maintain up to 50% travel.
Permanent residence in the listed territory.
Preferred
Immunology disease state experience.
Advanced degree and/or relevant 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 and expertise in payer policy, covering coding, coverage, and payment.
Demonstrated competence with Salesforce.com CRM use, Microsoft Word, and Excel.
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. If you need an accommodation, please contact us via
https://www.jnj.com/contact-us/careers
or the AskGS resource.
#J-18808-Ljbffr
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 today to deliver breakthroughs of tomorrow and profoundly impact health for humanity.
The 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 Wichita, Overland Park, Topeka, Kansas City and Olathe, KS territories. The FRM will serve as the primary field‑based lead for education, assistance, and issue resolution with healthcare providers and their office staff regarding patient access to J&J Immunology therapies.
Primary Responsibilities
Educate HCPs on product coverage, prior authorizations, 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 expert for the local team.
Act with a sense of 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 creative 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 the knowledge of hub and specialty distribution channels to improve practice and patient support needs.
Collaborate with internal J&J departments such as marketing, sales, medical science, SCG, IBG, HCC, and PECS, serving as subject matter expert regarding education and insights on access and affordability solutions across multiple payer types and plans.
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 (e.g., pharmacy and medical benefits including buy & bill and AOB across multiple sites of care).
Remains current on and anticipates changes in product coverage and access knowledge, marketplace conditions, and stakeholder practices to deliver the most effective delivery of approved materials.
Understands and adapts to the changing healthcare ecosystem to customize resourcing and messaging to HCPs and HCP staff.
Qualifications
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 working in hospital and/or provider office settings, building strong customer relationships.
Demonstrated expertise with both pharmacy and medical/buy & bill benefits (as applicable), 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 in a timely and efficient manner.
Experience in working with patient support HUB services.
Valid U.S. driver’s license and driving record in compliance with company standards.
Ability to consistently maintain up to 50% travel.
Permanent residence in the listed territory.
Preferred
Immunology disease state experience.
Advanced degree and/or relevant 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 and expertise in payer policy, covering coding, coverage, and payment.
Demonstrated competence with Salesforce.com CRM use, Microsoft Word, and Excel.
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. If you need an accommodation, please contact us via
https://www.jnj.com/contact-us/careers
or the AskGS resource.
#J-18808-Ljbffr