Jnjmedtech
Field Reimbursement Manager (Immunology Dermatology)– (Lancaster, OH) – Johnson
Jnjmedtech, Columbus, Ohio, United States, 43224
Overview
Field Reimbursement Manager (Immunology Dermatology) – Lancaster, OH – Johnson & Johnson HCS, Inc. Job Description
An important aspect of patient’s unmet need includes helping them start and stay on their medicine for the best chance at treatment success. The Field Reimbursement Manager (FRM) serves as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs) and their staff regarding patient access to J&J Immunology therapies. This role includes spending time on-site with HCPs to assess education needs and collaborate with internal stakeholders. Responsibilities
Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and payer coding requirements (local payers, government payers, etc.) for core and launch products. Collaborate with field support team members (e.g., sales representatives and key account managers) and serve as the 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 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 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 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 insights for access and affordability across payer types (e.g., Medicare, Medicaid Managed Care, Commercial). Adhere to the highest ethical, legal, and compliance standards and complete required training. Market Access Expertise
Extensive knowledge of medication access channels (pharmacy and medical benefits, including buy & bill and/or assignment of benefit across multiple sites of care). Stay current on changes in product coverage, access knowledge, marketplace conditions, and stakeholder practices. Adapt to the changing healthcare ecosystem to customize resourcing and messaging for HCPs and staff. Qualifications
Required Bachelor’s degree (preferably in healthcare or business/public administration). An MBA or MPH is a plus. 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. Expertise in pharmacy and medical/buy & bill benefits, coding, and billing. Reimbursement or relevant managed care experience (revenue cycle, buy-and-bill, prior authorization, coding, and appeals). Ability to collaborate across a matrix organization and influence stakeholders. Problem-solving ability to navigate challenging access scenarios and identify solutions. Experience working with patient support HUB services. Valid US driver’s license and driving record compliant 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, billing, and/or 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/biotech products. Technical knowledge in payer policy (coding, coverage, and payment). Experience with Salesforce CRM, Microsoft Word, and Excel. Compensation and Benefits
The anticipated base pay range is $100,000 to $175,000. The position is eligible for an annual performance bonus. Company benefits include medical, dental, vision, life insurance, disability coverage, and retirement plans. This position may participate in the company’s long-term incentive program. Additional Details
Time off benefits include vacation, sick time, holiday pay, and work/personal/family time. For more information on benefits, visit the company benefits page. Johnson & Johnson is an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other protected characteristics. Individuals with disabilities may request accommodations via the careers site. Other
Location: Columbus, OH area with territories including Columbus, Lancaster, Cincinnati, Newark, and Chillicothe. Travel up to 50% may be required.
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Field Reimbursement Manager (Immunology Dermatology) – Lancaster, OH – Johnson & Johnson HCS, Inc. Job Description
An important aspect of patient’s unmet need includes helping them start and stay on their medicine for the best chance at treatment success. The Field Reimbursement Manager (FRM) serves as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs) and their staff regarding patient access to J&J Immunology therapies. This role includes spending time on-site with HCPs to assess education needs and collaborate with internal stakeholders. Responsibilities
Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and payer coding requirements (local payers, government payers, etc.) for core and launch products. Collaborate with field support team members (e.g., sales representatives and key account managers) and serve as the 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 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 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 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 insights for access and affordability across payer types (e.g., Medicare, Medicaid Managed Care, Commercial). Adhere to the highest ethical, legal, and compliance standards and complete required training. Market Access Expertise
Extensive knowledge of medication access channels (pharmacy and medical benefits, including buy & bill and/or assignment of benefit across multiple sites of care). Stay current on changes in product coverage, access knowledge, marketplace conditions, and stakeholder practices. Adapt to the changing healthcare ecosystem to customize resourcing and messaging for HCPs and staff. Qualifications
Required Bachelor’s degree (preferably in healthcare or business/public administration). An MBA or MPH is a plus. 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. Expertise in pharmacy and medical/buy & bill benefits, coding, and billing. Reimbursement or relevant managed care experience (revenue cycle, buy-and-bill, prior authorization, coding, and appeals). Ability to collaborate across a matrix organization and influence stakeholders. Problem-solving ability to navigate challenging access scenarios and identify solutions. Experience working with patient support HUB services. Valid US driver’s license and driving record compliant 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, billing, and/or 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/biotech products. Technical knowledge in payer policy (coding, coverage, and payment). Experience with Salesforce CRM, Microsoft Word, and Excel. Compensation and Benefits
The anticipated base pay range is $100,000 to $175,000. The position is eligible for an annual performance bonus. Company benefits include medical, dental, vision, life insurance, disability coverage, and retirement plans. This position may participate in the company’s long-term incentive program. Additional Details
Time off benefits include vacation, sick time, holiday pay, and work/personal/family time. For more information on benefits, visit the company benefits page. Johnson & Johnson is an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other protected characteristics. Individuals with disabilities may request accommodations via the careers site. Other
Location: Columbus, OH area with territories including Columbus, Lancaster, Cincinnati, Newark, and Chillicothe. Travel up to 50% may be required.
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