Johnson & Johnson MedTech
Field Reimbursement Manager, Immunology Rheumatology - Wichita, KS Territory
Johnson & Johnson MedTech, Kansas City, Kansas, United States, 66115
Field Reimbursement Manager, Immunology Rheumatology - Wichita, KS Territory
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. Through our expertise in Innovative Medicine and MedTech, we innovate across the full spectrum of healthcare solutions today to deliver breakthroughs of tomorrow and positively impact health for humanity.
About Innovative Medicine Our expertise in Innovative Medicine is informed and inspired 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 Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager to serve the Wichita, Overland Park, Topeka, Kansas City and Olathe, KS territories. The FRM is a field‑based lead for education, assistance, and issue resolution with healthcare providers (HCPs) and their staff regarding patient access to J&J Immunology therapies. Up to 50% of the role involves on‑site engagement with HCPs, assessing education needs, and collaborating with various stakeholders.
Primary Responsibilities
Educate HCPs on product coverage, prior authorizations, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations.
Collaborate with field support team members 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 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, and others to provide access and affordability solutions across multiple payer types.
Execute business in accordance with the highest ethical, legal, and compliance standards, including timely and successful completion of all required training.
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 in a hospital or provider office setting, building strong customer relationships.
Demonstrated expertise with pharmacy and medical/buy‑&bill benefits (as applicable), coding, and billing.
Reimbursement or 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 efficiently.
Experience in working with patient support HUB services.
Valid U.S. driver’s license and compliance with company standards.
Ability to consistently maintain up to 50% travel.
Permanent residence in the listed territory.
Preferred Qualifications
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.
Excellent technical knowledge of payer policy, including coding, coverage, and payment.
Proficiency with Salesforce.com CRM, 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 any other characteristic 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 are an individual with a disability and would like to request an accommodation, please contact us via
https://www.jnj.com/contact-us/careers
or contact AskGS to be directed to your accommodation resource.
#J-18808-Ljbffr
About Innovative Medicine Our expertise in Innovative Medicine is informed and inspired 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 Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager to serve the Wichita, Overland Park, Topeka, Kansas City and Olathe, KS territories. The FRM is a field‑based lead for education, assistance, and issue resolution with healthcare providers (HCPs) and their staff regarding patient access to J&J Immunology therapies. Up to 50% of the role involves on‑site engagement with HCPs, assessing education needs, and collaborating with various stakeholders.
Primary Responsibilities
Educate HCPs on product coverage, prior authorizations, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations.
Collaborate with field support team members 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 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, and others to provide access and affordability solutions across multiple payer types.
Execute business in accordance with the highest ethical, legal, and compliance standards, including timely and successful completion of all required training.
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 in a hospital or provider office setting, building strong customer relationships.
Demonstrated expertise with pharmacy and medical/buy‑&bill benefits (as applicable), coding, and billing.
Reimbursement or 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 efficiently.
Experience in working with patient support HUB services.
Valid U.S. driver’s license and compliance with company standards.
Ability to consistently maintain up to 50% travel.
Permanent residence in the listed territory.
Preferred Qualifications
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.
Excellent technical knowledge of payer policy, including coding, coverage, and payment.
Proficiency with Salesforce.com CRM, 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 any other characteristic 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 are an individual with a disability and would like to request an accommodation, please contact us via
https://www.jnj.com/contact-us/careers
or contact AskGS to be directed to your accommodation resource.
#J-18808-Ljbffr