Senior Field Reimbursement Specialist (Puerto Rico)

Johnson & Johnson Innovative Medicine•Guaynabo, PR

2d•Hybrid

About The Position

At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn more at jnj.com. As guided by Our Credo, Johnson & Johnson is responsible to our employees who work with us throughout the world. We provide an inclusive work environment where each person is considered as an individual. At Johnson & Johnson, we respect the diversity and dignity of our employees and recognize their merit. Job Function: Market Access Job Sub Function: Reimbursement Job Category: Professional All Job Posting Locations: Guaynabo, Puerto Rico, United States of America About Innovative Medicine Our expertise in Innovative Medicine is informed and inspired by patients, whose insights fuel our science-based advancements. Visionaries like you work on teams that save lives by developing the medicines of tomorrow. Join us in developing treatments, finding cures, and pioneering the path from lab to life while championing patients every step of the way. Learn more at https://www.jnj.com/innovative-medicine We are searching for the best talent for Senior Field Reimbursement Specialist. This is a field-based position, and the territory includes San Juan and Ponce. Description: An important aspect of patient’s unmet need includes helping them start and stay on their medicine for the best chance at treatment success. The Patient Engagement and Customer Solutions (PECS) organization serves patients, during their treatment journey with Janssen therapies, to help overcome challenges to fulfillment, on-boarding, and adherence. The Senior Field Reimbursement Specialist (FRAS) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs), and their office staff, with respect to patient access to J&J Oncology therapies. This role involves investing time (up to 50%) on-site with HCPs, assessing their education needs and facilitating collaboration with various stakeholders. A Day in the Life Every patient’s healthcare experience is unique - shaped by personal experiences and beliefs, the presence or absence of support networks, provider and payer dynamics, and socioeconomic factors. For many patients, the decision to start or stop treatment is overwhelming. J&J recognizes this, and wants to create an experience that is personalized, helpful, and hopeful.

Requirements

Bachelor’s degree (preferably in healthcare or business).
Minimum of 5 years of relevant professional experience
Account Management and/or Reimbursement experience working in the provider office setting, building strong customer relationship
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 identifies 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 Puerto Rico driver’s license and a driving record in compliance with company standards
Ability to consistently maintain up to 50% travel
Flexibility in territory geographical coverage
Bilingual (English/Spanish)
Must be able to travel overnight and/or weekend as required or needed.
Position requires frequent travel and some field contact with sales representatives.
Valid Puerto Rico driver’s license required with a clean driving record.
Cognitive skills: Results oriented, critical thinking skills, ability to execute in high complex environment and manage ambiguity.
Excellent communication skills (oral and presentation) to translate information into succinct, actionable strategies that drive sales.
Excellent analytical skills to drive business strategies and results based on complex and multisource data and insights.
Strong interdependent partnering skills to maintain internal and external relationships.
Proven ability to create and adapt to change.
Ability to manage conflicts proactively and positively.
Ability to apply good judgment in situations, including decision making, working under time pressure, and operating in cross functional teams.

Nice To Haves

Oncology 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 (local payers, government payers, etc.) for core and launch products.
Collaborate with field support team members such as sales representatives and key account specialists and serve as reimbursement expert for the local team
Act with a sense of urgency to address critical access and affordability issues for patients
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 to FRAS Rules of Engagement
Build strong, trust-based relationships with customers in all assigned Oncology 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 the 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, HCC, and PECS.
Serve as subject matter expert regarding education and insights on access and affordability solutions across multiple payer types and plans pertaining Puerto Rico’s access dynamics (i.e., Medicare, Medicaid, Commercial).
Execute business in accordance with the highest ethical, legal, and compliance standards, including timely and successful completion of all required training