Field Reimbursement Manager, Immunology Dermatology (Dayton, Ohio) Patient Engagement and Customer Solutions (PECS)

Johnson & Johnson•Dayton, OH

4d•$105,000 - $181,700•Onsite

About The Position

Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is hiring a field-based Field Reimbursement Manager (FRM) for its Immunology portfolio. The territory includes Dayton, Ohio, and the role requires permanent residence in the listed territory. PECS aims to provide personalized, seamless, and supportive patient experiences that help people start and stay on treatment. The FRM is the primary field-based lead for educating healthcare providers (HCPs) and their office staff, providing assistance, and resolving issues related to patient access to J&J Immunology therapies. The manager spends up to 50% of their time on-site with HCPs, assesses their education needs, and facilitates collaboration with relevant stakeholders. The role provides education and problem-solving support related to access, affordability, reimbursement, and patient support, while working in accordance with FRM Rules of Engagement and applicable legal, ethical, and compliance standards. The position requires extensive knowledge of medication access channels, including pharmacy and medical benefits, buy-and-bill, and assignment of benefit across different sites of care. The FRM stays current on coverage, coding, payer, marketplace, and stakeholder changes, and adapts approved education and resources to the changing healthcare ecosystem. The anticipated base pay range is $105,000 to $181,700. The position is eligible for the company’s long-term incentive program and offers specified vacation, sick time, holidays, personal and family time, parental, bereavement, caregiver, volunteer, and military spouse leave benefits.

Requirements

Bachelor’s degree; a degree in healthcare or business/public administration is preferred.
At least 5 years of relevant professional experience.
Account management and/or reimbursement experience in a provider office setting, including building customer relationships.
Demonstrated expertise with pharmacy and medical/buy-and-bill benefits, coding, and billing.
Reimbursement or relevant managed care experience, including 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.
Strong written and verbal communication skills and efficient follow-through.
Experience working with patient support hub services.
Valid U.S. driver’s license and driving record compliant with company standards.
Ability to consistently maintain up to 50% travel.
Permanent residence in the listed territory.
Ability to execute work in accordance with applicable ethical, legal, and compliance standards.

Nice To Haves

Advanced business degree (MBA) or public health degree (MPH).
Immunology disease-state experience.
Advanced degree and/or relevant certifications in prior authorization and/or billing and coding.
Strong market access acumen relating to payer approval processes and business acumen.
Understanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement of pharmaceutical and biotechnology products.
Technical knowledge and expertise in payer policy, including coding, coverage, and payment.
Experience using Salesforce.com CRM, Microsoft Word, and Excel.
Commitment to learning emerging technologies, such as AI, through exploration and iteration, and applying new tools over time.

Responsibilities

Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and payer coding requirements for core and launch products.
Collaborate with field support team members, including sales representatives and key account managers, and serve as the local team’s reimbursement expert.
Address critical patient access and affordability issues with urgency.
Partner with managed care colleagues to understand current policies and potential future changes.
Provide field-based reimbursement and access support, education, and problem-solving in accordance with 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.
Build knowledge of hub and specialty distribution channels to improve support for practices and patients.
Collaborate with internal J&J departments, including marketing, sales, medical science, SCG, IBG, HCC, and PECS.
Serve as a subject matter expert on education and insights regarding access and affordability solutions across payer types and plans, including Medicare, Medicaid Managed Care, and commercial plans.
Conduct business in accordance with ethical, legal, and compliance standards, including completing required training on time and successfully.
Stay current on and anticipate changes in product coverage, access knowledge, marketplace conditions, and stakeholder practices to deliver effective approved materials.
Adapt to changes in the healthcare ecosystem and customize resources and messaging for HCPs and their staff.

Benefits

Eligible to participate in the company’s long-term incentive program.
Vacation: 120 hours per calendar year.
Sick time: 40 hours per calendar year, with different amounts specified for employees residing in Colorado or Washington.
Holiday pay, including floating holidays: 13 days per calendar year.
Work, Personal and Family Time: up to 40 hours per calendar year.
Parental leave: 480 hours within one year of the birth, adoption, or foster care of a child.
Bereavement leave: 240 hours for an immediate family member and 40 hours for an extended family member per calendar year.
Caregiver leave: 80 hours in a 52-week rolling period.
Volunteer leave: 32 hours per calendar year.
Military spouse time off: 80 hours per calendar year.