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

Johnson & Johnson Innovative Medicine • Dayton, OH

5d • $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 for a territory that includes Dayton, Ohio. PECS aims to create personalized, seamless, and supportive patient experiences that help patients start and stay on treatment.

The Field Reimbursement Manager serves as the primary field-based lead for educating healthcare providers and office staff, assisting them, and resolving issues related to patient access to J&J Immunology therapies. The role includes spending up to 50% of time on-site with healthcare providers, assessing their education needs, and facilitating collaboration with stakeholders. The manager provides reimbursement and access support, helps address patient access and affordability challenges, and shares expertise and insights across payer types and plans.

The role requires managing territory logistics and account planning, building trusted relationships with Immunology accounts, and maintaining knowledge of market dynamics, payer coverage, coding, hub services, and specialty distribution channels. The manager collaborates with field colleagues and internal J&J departments and performs all work in accordance with applicable ethical, legal, and compliance standards.

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 strong 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 timely, efficient solutions.
• Strong written and verbal communication skills and efficient follow-through.
• 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 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 reimbursement of pharmaceutical and biotechnology products.
• Excellent technical knowledge of payer policy and reimbursement, including coding, coverage, and payment.
• Demonstrated 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 on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, payer procedures, and coding requirements.
• Collaborate with sales representatives, key account managers, and other field support team members, serving as the local team’s reimbursement expert.
• Address patient access and affordability issues with urgency.
• Partner with managed care colleagues to understand current policies and potential policy 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.
• Develop 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.
• Serve as a subject matter expert on education and access and affordability solutions across payer types and plans, including Medicare, Medicaid Managed Care, and commercial plans.
• Execute business in accordance with ethical, legal, and compliance standards and complete required training on time.
• Maintain current knowledge of medication access channels, product coverage, marketplace conditions, stakeholder practices, and changes in the healthcare ecosystem.
• Customize resourcing and messaging for healthcare providers and their staff as the healthcare ecosystem changes.

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 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level