Field Reimbursement Manager - (Wilmington, DE) Dermatology

Johnson & Johnson•Wilmington, DE

7d•Onsite

About The Position

Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is hiring a field-based Field Reimbursement Manager for the Wilmington, Delaware territory. The role serves as the primary field-based lead for education, assistance, and issue resolution for healthcare providers and office staff regarding patient access to J&J Immunology therapies. The manager spends up to 50% of their time onsite with healthcare providers, assessing educational needs and facilitating collaboration with relevant stakeholders. PECS works to create personalized, seamless, and supportive patient experiences that help patients start and remain on treatment. The Field Reimbursement Manager provides reimbursement and access support to healthcare practices, helps address patient access and affordability challenges, and shares expertise and insights across payer types and plans. The role also manages territory logistics and account planning, collaborates with internal and field colleagues, and conducts business in compliance with applicable ethical, legal, and company standards.

Requirements

Bachelor’s degree; healthcare or business/public administration is preferred.
At least 5 years of relevant professional experience.
Account management and/or reimbursement experience in a hospital or provider-office setting, including building customer relationships.
Demonstrated expertise with pharmacy and medical/buy-and-bill benefits, as applicable, and with coding and billing.
Reimbursement or relevant managed care experience, including revenue cycle, buy-and-bill, prior authorization, coding, and appeals processes.
Ability to build 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 maintain up to 50% travel.
Permanent residence in the listed territory.

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, 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 of pharmaceutical and biotechnology products.
Technical knowledge and expertise in payer policy, including coding, coverage, and payment.
Competence using Salesforce.com CRM, Microsoft Word, and Excel.
Commitment to learning emerging technologies, such as AI, through exploration, iteration, and applying new tools over time.

Responsibilities

Educate healthcare providers and their office staff 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 reimbursement expert for the local team.
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 expand knowledge of national, regional, local, and account market dynamics, including coverage and coding requirements.
Develop 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 concerning 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.
Maintain current knowledge of product coverage, access, marketplace conditions, and stakeholder practices, and deliver approved materials effectively.
Adapt to changes in the healthcare ecosystem to customize resources and messaging for healthcare providers and their staff.