Field Reimbursement Manager - Immunology Dermatology – Manchester, NH – Johnson & Johnson HCS, Inc.

Johnson & Johnson•Concord, NH

22d•Remote

About The Position

At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn more at https://www.jnj.com Job Function: Market Access Job Sub Function: Reimbursement Job Category: People Leader All Job Posting Locations: Concord, New Hampshire, United States, Manchester, New Hampshire, United States Job Description: About Inno v ati v e Medicine Our expertise in Inno v ati v e Medicine is in f ormed and inspired by patients, whose insights f uel our science-based ad v ancements. V isionaries like you work on teams that sa v e li v e s by de v e loping the medicines o f tomorrow. Join us in de v e loping treatments, f inding cures, and pioneering the path f rom lab to li f e while championing patients e v e ry step o f the way. Learn more at https://www.jnj.com/inno v ati v e -medicine Johnson & Johnson Inno v ati v e Medicine’s Patient Engagement and Customer Solutions (PECS) team is recruiting f or a F ield Reimbursement Manager which will be a f ield-based position that will include the Manchester, NH; Nashua, NH; Concord, NH; Derry, NH; and Dover, NH territories. PECS is committed to setting the standard on Patient Experience ( Px ), building more personalized, seamless, and supporti v e experiences to help patients start and stay on treatments across the port f olio. Job Description: An important aspect o f patient’s unmet need includes helping them start and stay on their medicine f or the best chance at treatment success. The Patient Engagement and Customer Solutions (PECS) organization ser v e s patients, during their treatment journey with Janssen therapies, to help o v e rcome challenges to f ul f illment, on-boarding, and adherence . The F ield Reimbursement Manager ( F R M ) is responsible f or ser v ing as the primary f ield-based lead f or education, assistance , and issue resolution with health car e pro v iders (HCPs), and their o f f ice sta f f , with respect to patient access to J&J Immunology therapies.  This role in v ol v e s in v e sting time (up to 50 %) on-site with HCP s, assessing their education needs and f acilitating collaboration with v arious stakeholders. A Day in the Li f e E v e ry patient’s health car e experience is unique - shaped by personal experiences and belie f s, the presence or absence o f support networks, pro v ider and payer dynamics, and socioeconomic f actors. F or many patients, the decision to start or stop treatment is o v e rwhelming. J&J recognizes this, and wants to create an experience that is personalized, help f ul, and hope f ul.

Requirements

Bachelor’s degree (pre f erably in health car e or business/public administration ) . An ad v anced business degree (MBA), or public health (MPH ) is pre f erred.
Minimum o f 5 years o f rele v ant pro f essional experience
Account Management and/or Reimbursement experience working in the hospital and/or pro v ider o f f ice setting, building strong customer relationships .
Demonstrated expertise with both pharmacy and medical/buy & bill bene f its (as applicable) , coding, and billing .
Reimbursement or rele v ant managed car e experience (re v e nue cycle, buy-and-bill, prior authorization, coding, and appeals processes)
Ability to establish relationships, collaborate, and in f luence across a matrix organization .
Problem-sol v ing ability to na v igate challenging access scenarios and identi f ies solutions in a timely and e f f icient manner .
Experience in working with patient support HUB ser v ices .
V alid US dri v e r’s license and a dri v ing record in compliance with company standards
Ability to consistently maintain up to 50% tra v e l .
Permanent residence in the listed territory

Nice To Haves

Immunology disease state experience
Ad v anced degree and/ or rele v ant certi f ications in prior authorization and/or billing and coding
Strong market access acumen as it relates to payer appro v al process es and business acumen .
Understanding o f Medi car e, Medicaid, and pri v ate payer initiati v e s a f f ecting reimbursement o f pharmaceutical and biotechnology products
Excellent technical knowledge and expertise in payer policy, including all elements o f reimbursement (coding, co v e rage , and payment) is pre f erred .
Demonstrated competence with sales f orce.com CRM use, Microso f t Word, and Excel

Responsibilities

Educate HCPs on product co v e rage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements o f payer organizations (local payers, go v e rnment payers, etc.) f or core and launch products.
Collaborate with f ield support team members such as sales representati v e s and key account managers and ser v e as reimbursement expert f or the local team .
Act with a sense o f urgency to address critical access and a f f ordability issues f or patients .
Partner with managed car e colleagues to understand current policies and potential f uture changes .
Conduct f ield-based reimbursement and access support, education and creati v e problem-sol v ing aligned to F RM Rules o f 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 o f national, regional, local, and account market dynamics including co v e rage and coding requirements .
Grow the knowledge o f hub and specialty distribution channels to impro v e practice and patient support needs .
Collaborate with internal J&J departments such as marketing, sales, medical science, SCG, IBG, HCC, and PECS . Ser v e as subject matter expert regarding education and insights on access and a f f ordability solutions across multiple payer types and plans (i.e., Medi car e, Medicaid Managed Car e, Commercial) .
Execute business in accordance with the highest ethical, legal, and compliance standards, including timely and success f ul completion o f all required training .