Field Reimbursement Manager, Rheumatology (Atlanta, GA) Patient Engagement and Customer Solutions (PECS)

Johnson & Johnson Innovative Medicine•Hopewell Township, NJ

2d•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 Atlanta, Georgia territory. The role supports patients receiving J&J Immunology therapies by helping healthcare providers and their office staff address challenges related to treatment access, fulfillment, onboarding, and adherence. The manager serves as the primary field-based lead for education, assistance, and issue resolution related to patient access, spending up to 50% of their time on-site with healthcare providers to assess education needs and coordinate with stakeholders. The role requires extensive knowledge of medication access channels, including pharmacy and medical benefits, buy-and-bill, and assignment of benefit arrangements across multiple sites of care. The manager stays current on product coverage, payer policies, coding requirements, market conditions, and stakeholder practices, adapting education and resources to the changing healthcare environment. The position also involves territory planning, relationship building, cross-functional collaboration, and compliant execution of business activities.

Requirements

Bachelor’s degree, preferably in healthcare or business/public administration.
At least 5 years of relevant professional experience.
Account management and/or reimbursement experience in a hospital or provider-office setting, including building strong 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 relating 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 and iteration and applying new tools over time.

Responsibilities

Educate healthcare providers 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, managed care colleagues, and other field team members; serve as the local team’s reimbursement expert.
Address critical patient access and affordability issues with a sense of urgency.
Conduct field-based reimbursement and access support, education, and problem-solving in accordance with Field Reimbursement Manager Rules of Engagement.
Build strong, trust-based relationships with customers across 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 support for practices and patients.
Collaborate with internal Johnson & Johnson departments, including marketing, sales, medical science, SCG, IBG, HCC, and PECS.
Provide subject-matter expertise and insights on 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.
Stay current on and anticipate changes in product coverage, access knowledge, marketplace conditions, and stakeholder practices, and deliver approved materials effectively.
Adapt resourcing and messaging to healthcare providers and their staff as the healthcare ecosystem changes.