Jnjmedtech
Field Reimbursement Manager (Rheumatology) - San Francisco, CA North
Jnjmedtech, San Francisco, California, United States, 94199
Field Reimbursement Manager (Rheumatology) - San Francisco, CA North
Johnson & Johnson Innovative Medicine is recruiting for a Field Reimbursement Manager. This field-based role will cover the San Francisco, North Bay, Mendocino & Antioch, CA territories and involves education, assistance, and issue resolution with healthcare providers (HCPs) regarding patient access to J&J Immunology therapies. PECS is committed to improving patient experience by delivering personalized, seamless, and supportive access solutions across the portfolio. The FRM spends substantial time on-site with HCPs to assess education needs and facilitate collaboration with internal stakeholders. About the role
The Field Reimbursement Manager (FRM) is the primary field-based lead for reimbursement education, assistance, and issue resolution with HCPs and office staff to support patient access to J&J Immunology therapies. The role may involve up to 50% on-site time with HCPs. A Day in the Life
Every patient’s healthcare experience is unique. J&J aims to create a personalized, helpful, and hopeful experience to support treatment adherence and access. Primary Responsibilities
Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and payer coding requirements for local and national payers. Collaborate with field support team members (e.g., sales representatives, key account managers) and serve as reimbursement expert for the local team. Address critical access and affordability issues for patients with a sense of urgency. Partner with managed care colleagues to understand current policies and potential changes. Provide field-based reimbursement and access support, education, and 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 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, and PECS). Serve as a subject matter expert on education and insights for access and affordability across multiple payer types (e.g., Medicare, Medicaid, Commercial). Execute business ethically and legally, including timely completion of required training. Market Access Expertise
Extensive knowledge of medication access channels (pharmacy and medical benefits, including buy & bill and/or AOB) across multiple sites of care. Stay current on changes in product coverage and access practices to deliver effective materials. Understand and adapt to the evolving healthcare ecosystem to customize resourcing and messaging to HCPs and staff. Qualifications
Required
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 or provider office settings. 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 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 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 CRM, Microsoft Word, and Excel. Reference: FRM2025. 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 law. The anticipated base pay range for this position is: $100,000 - 172,500. This position is eligible for the Company’s benefits programs and retirement plan as described in the employee benefits information.
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Johnson & Johnson Innovative Medicine is recruiting for a Field Reimbursement Manager. This field-based role will cover the San Francisco, North Bay, Mendocino & Antioch, CA territories and involves education, assistance, and issue resolution with healthcare providers (HCPs) regarding patient access to J&J Immunology therapies. PECS is committed to improving patient experience by delivering personalized, seamless, and supportive access solutions across the portfolio. The FRM spends substantial time on-site with HCPs to assess education needs and facilitate collaboration with internal stakeholders. About the role
The Field Reimbursement Manager (FRM) is the primary field-based lead for reimbursement education, assistance, and issue resolution with HCPs and office staff to support patient access to J&J Immunology therapies. The role may involve up to 50% on-site time with HCPs. A Day in the Life
Every patient’s healthcare experience is unique. J&J aims to create a personalized, helpful, and hopeful experience to support treatment adherence and access. Primary Responsibilities
Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and payer coding requirements for local and national payers. Collaborate with field support team members (e.g., sales representatives, key account managers) and serve as reimbursement expert for the local team. Address critical access and affordability issues for patients with a sense of urgency. Partner with managed care colleagues to understand current policies and potential changes. Provide field-based reimbursement and access support, education, and 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 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, and PECS). Serve as a subject matter expert on education and insights for access and affordability across multiple payer types (e.g., Medicare, Medicaid, Commercial). Execute business ethically and legally, including timely completion of required training. Market Access Expertise
Extensive knowledge of medication access channels (pharmacy and medical benefits, including buy & bill and/or AOB) across multiple sites of care. Stay current on changes in product coverage and access practices to deliver effective materials. Understand and adapt to the evolving healthcare ecosystem to customize resourcing and messaging to HCPs and staff. Qualifications
Required
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 or provider office settings. 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 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 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 CRM, Microsoft Word, and Excel. Reference: FRM2025. 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 law. The anticipated base pay range for this position is: $100,000 - 172,500. This position is eligible for the Company’s benefits programs and retirement plan as described in the employee benefits information.
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