Johnson & Johnson MedTech
Field Reimbursement Manager (Immunology Dermatology)– (Grand Rapids, MI Territor
Johnson & Johnson MedTech, Grand Rapids, Michigan, us, 49528
Field Reimbursement Manager (Immunology Dermatology)
Company:
Johnson & Johnson HCS, Inc., operating as Johnson & Johnson MedTech
Location:
Grand Rapids, MI (Territory includes Grand Rapids, Kalamazoo, Muskegon, Holland, Battle Creek, MI)
Salary:
$180,000.00 – $190,000.00 annually.
Johnson & Johnson is committed to health innovation and patient care. The Patient Engagement and Customer Solutions (PECS) organization seeks a Field Reimbursement Manager (FRM) to serve as a primary field‑based lead for education, assistance, and issue resolution with healthcare providers (HCPs) to facilitate patient access to J&J Immunology therapies across the listed territory.
Primary Responsibilities
Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements for core and launch products.
Collaborate with field support team members such as sales representatives and key account managers, serving as a reimbursement expert for the local team.
Act with 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 with 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 (marketing, sales, medical science, SCG, IBG, HCC, and PECS), serving as a subject‑matter expert 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 (pharmacy, medical benefits, buy & bill, AOB across multiple sites of care).
Remain current on and anticipate changes in product coverage and access knowledge, marketplace conditions, and stakeholder practices.
Understand and adapt to the changing healthcare ecosystem to customize resourcing and messaging to HCPs and HCP staff.
Required Qualifications
Bachelor’s degree (preferably in healthcare, business, or public administration). An advanced business degree (MBA) or public health (MPH) is preferred.
Minimum of 5 years of relevant professional experience.
Experience in account management and/or reimbursement 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 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 Qualifications
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, including all elements of reimbursement (coding, coverage, and payment).
Proficiency with Salesforce.com CRM, Microsoft Word, and Excel.
Equal Opportunity & Accommodations 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. J&J actively seeks 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 for accommodation resources.
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Johnson & Johnson HCS, Inc., operating as Johnson & Johnson MedTech
Location:
Grand Rapids, MI (Territory includes Grand Rapids, Kalamazoo, Muskegon, Holland, Battle Creek, MI)
Salary:
$180,000.00 – $190,000.00 annually.
Johnson & Johnson is committed to health innovation and patient care. The Patient Engagement and Customer Solutions (PECS) organization seeks a Field Reimbursement Manager (FRM) to serve as a primary field‑based lead for education, assistance, and issue resolution with healthcare providers (HCPs) to facilitate patient access to J&J Immunology therapies across the listed territory.
Primary Responsibilities
Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements for core and launch products.
Collaborate with field support team members such as sales representatives and key account managers, serving as a reimbursement expert for the local team.
Act with 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 with 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 (marketing, sales, medical science, SCG, IBG, HCC, and PECS), serving as a subject‑matter expert 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 (pharmacy, medical benefits, buy & bill, AOB across multiple sites of care).
Remain current on and anticipate changes in product coverage and access knowledge, marketplace conditions, and stakeholder practices.
Understand and adapt to the changing healthcare ecosystem to customize resourcing and messaging to HCPs and HCP staff.
Required Qualifications
Bachelor’s degree (preferably in healthcare, business, or public administration). An advanced business degree (MBA) or public health (MPH) is preferred.
Minimum of 5 years of relevant professional experience.
Experience in account management and/or reimbursement 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 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 Qualifications
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, including all elements of reimbursement (coding, coverage, and payment).
Proficiency with Salesforce.com CRM, Microsoft Word, and Excel.
Equal Opportunity & Accommodations 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. J&J actively seeks 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 for accommodation resources.
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