Field Reimbursement Manager, Dermatology - (Youngstown OH) - Patient Engagement & Customer Solution (PECS)

Johnson & Johnson Innovative Medicine•Hopewell Township, NJ

1d•$102,000 - $177,100•Onsite

About The Position

Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is seeking a field-based Field Reimbursement Manager based in Youngstown, Ohio. The territory includes Youngstown and Mentor, Ohio, and Erie and Grove City, Pennsylvania. PECS supports patients throughout their treatment journeys by helping address challenges with fulfillment, onboarding, and adherence. The Field Reimbursement Manager is the primary field-based resource for educating healthcare providers and their office staff and resolving issues related to patient access to J&J Immunology therapies. The role may involve spending up to 50% of time onsite with healthcare providers to assess education needs and coordinate with stakeholders. The manager provides reimbursement and access support, helps practices navigate coverage and payment processes, and contributes expertise and insights on access and affordability solutions across payer types and plans. The role requires extensive knowledge of medication access channels, including pharmacy and medical benefits, buy-and-bill, and assignment of benefit across multiple sites of care. The manager stays current on coverage and access changes, marketplace conditions, and stakeholder practices, and adapts approved education and messaging to the changing healthcare environment. The position also includes territory planning and collaboration with internal teams, with work conducted in accordance with 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 hospital or provider-office setting, including building 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 maintain up to 50% travel.
Permanent residence in the listed territory.
Extensive knowledge of medication access channels, including pharmacy and medical benefits, buy-and-bill, and/or assignment of benefit 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 reimbursement of pharmaceutical and biotechnology products.
Excellent technical knowledge of payer policy and reimbursement elements, 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 and 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 local team’s reimbursement expert.
Address patient access and affordability issues with a sense of 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 consistent with Field Reimbursement Manager 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 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.
Stay current on product coverage, access knowledge, marketplace conditions, and stakeholder practices, and deliver approved materials effectively.
Adapt to changes in the healthcare ecosystem to customize resourcing and messaging for healthcare providers and their staff.

Benefits

Company consolidated retirement plan (pension) and savings plan (401(k)), subject to plan terms.
Eligibility to participate in the company’s long-term incentive program.
Vacation: 120 hours per calendar year, subject to policy and date of hire.
Sick time: 40 hours per calendar year, subject to policy and date of hire.
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.
Volunteer leave: 32 hours per calendar year.
Military spouse time off: 80 hours per calendar year.