Field Reimbursement Manager Immunology GI- Upper Manhattan

Johnson & Johnson Innovative Medicine•Hopewell Township, NJ

1d•$102,000 - $177,100•Remote

About The Position

The Field Reimbursement Manager (FRM) is a field-based position within the Patient Engagement and Customer Solutions (PECS) organization at Johnson & Johnson Innovative Medicine (JJIM). This role is dedicated to supporting patients and healthcare providers (HCPs) in overcoming challenges related to starting and staying on J&J Immunology therapies. The FRM will serve as the primary field-based contact for education, assistance, and issue resolution concerning patient access to these therapies. A significant portion of the role (up to 50%) involves on-site engagement with HCPs to assess their educational needs and facilitate collaboration among various stakeholders. The PECS team aims to create personalized, seamless, and supportive patient experiences throughout their treatment journey.

Requirements

Bachelor’s degree (preferably in healthcare or business/public administration).
Minimum of 5 years of relevant professional experience.
Account Management and/or Reimbursement experience working in the provider office setting, building strong customer relationships.
Demonstrated expertise with both pharmacy and medical/buy & bill benefits, coding, and billing.
Reimbursement or relevant managed care experience (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.
Superior communication skills (written and verbal) and efficient follow-through.
Experience in working with patient support HUB services.
Valid US driver’s license and a driving record in compliance with company standards.
Ability to consistently maintain up to 50% travel.
Permanent residence in the listed territory (New York, NY and Bronx, NY).

Nice To Haves

An advanced business degree (MBA), or public health (MPH) is preferred.
Immunology disease state experience.
Advanced degree and/or relevant certifications in prior authorization and/or billing and coding.
Strong market access acumen as it relates 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 and expertise in payer policy, including all elements of reimbursement (coding, coverage, and payment) is preferred.
Demonstrated competence with salesforce.com CRM use, Microsoft Word, and Excel.

Responsibilities

Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations for core and launch products.
Collaborate with field support team members, such as sales representatives and key account managers, and act as the reimbursement expert for the local team.
Address critical access and affordability issues for patients with urgency.
Partner with managed care colleagues to understand current policies and potential future changes.
Conduct field-based reimbursement and access support, education, and creative problem-solving aligned 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 needs.
Collaborate with internal J&J departments such as marketing, sales, medical science, SCG, IBG, HCC, and PECS.
Serve as a subject matter expert regarding education and insights on access and affordability solutions across multiple payer types and plans.
Execute business in accordance with the highest ethical, legal, and compliance standards, including timely and successful completion of all required training.

Benefits

Consolidated retirement plan (pension) and savings plan (401(k)).
Eligibility for the Company’s long-term incentive program.
Vacation – 120 hours per calendar year.
Sick time - 40 hours per calendar year (or 48/56 hours in CO/WA respectively).
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/foster care of a child.
Bereavement Leave – 240 hours for an immediate family member; 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.