Field Reimbursement Manager - (Wilmington, DE) Dermatology

Johnson & Johnson Innovative Medicine•Hopewell Township, NJ

1d•Onsite

About The Position

Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is recruiting a field-based Field Reimbursement Manager based in Wilmington, Delaware. The role serves as the primary field-based lead for educating and assisting healthcare providers (HCPs) and office staff, and resolving issues related to patient access to J&J Immunology therapies. The manager may spend up to 50% of their time on-site with HCPs, assessing education needs and facilitating collaboration with stakeholders. The position supports patients in starting and staying on treatment by helping address access, fulfillment, onboarding, adherence, and affordability challenges. It requires expertise in reimbursement and market access across pharmacy and medical benefits, payer types, and sites of care, along with the ability to adapt education and resources to changing healthcare conditions. The manager works with field colleagues and internal J&J departments, maintains customer relationships and territory plans, and conducts all work in accordance with ethical, legal, and compliance standards.

Requirements

Bachelor’s degree; a healthcare or business/public administration focus is preferred.
At least 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-and-bill benefits as applicable, 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.
Experience working with patient support HUB services.
Valid U.S. driver’s license and a driving record that complies with company standards.
Ability to consistently maintain up to 50% travel.
Permanent residence in the listed territory.
Extensive knowledge of medication access channels, including pharmacy and medical benefits and buy-and-bill and/or assignment of benefit (AOB) across multiple sites of care.

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 related to payer approval processes and business acumen.
Understanding of Medicare, Medicaid, and private payer initiatives affecting pharmaceutical and biotechnology product reimbursement.
Excellent technical knowledge of payer policy and reimbursement elements, including coding, coverage, and payment.
Demonstrated competence using Salesforce.com CRM, Microsoft Word, and Excel.
Demonstrated commitment to learning emerging technologies, such as AI, through exploration, 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 sales representatives, key account managers, and other field support team members, serving 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.
Grow knowledge of hub and specialty distribution channels to improve practice and patient support.
Collaborate with internal J&J departments, including marketing, sales, medical science, SCG, IBG, HCC, and PECS; provide subject-matter expertise and insights on access and affordability solutions across payer types and plans.
Stay current on and anticipate changes in product coverage, access knowledge, marketplace conditions, and stakeholder practices, delivering approved materials effectively.
Adapt to changes in the healthcare ecosystem to customize resourcing and messaging for HCPs and HCP staff.
Conduct business in accordance with ethical, legal, and compliance standards, including completing required training on time.