Field Reimbursement Manager

Field Reimbursement ManagerJohnson & Johnsons 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.Johnson & Johnson Innovative Medicines Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will include coverage of national key accounts in the treatment of Pulmonary Hypertension. PECS is committed to setting the standard on patient experience (Px), building more personalized, seamless, and supportive experiences to help patients start and stay on treatments across the portfolio.An important aspect of patients 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 Field Reimbursement Manager (FRM) 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 PAH therapies. This role involves investing time (up to 20%) on-site with HCPs, assessing their education needs and facilitating collaboration and case management with various stakeholders. In addition, the FRM will virtually support case management for community practices, as needed.Every patients 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.Primary ResponsibilitiesEducate 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 products.Collaborate with field support team members such as business directors and serve as reimbursement expert.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 and virtual reimbursement and access support, education and creative problem-solving aligned to FRM Rules of Engagement.Build strong, trust-based relationships with customers in all assigned PAH 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 EPG marketing, SCG, HCC, and PECS. Serve as subject matter expert regarding education and insights on access and affordability solutions across multiple payer types and plans (i.e., Medicare, Medicaid Managed Care, Commercial).Execute business in accordance with the highest ethical, legal, and compliance standards, including timely and successful completion of all required training.Market Access ExpertiseExtensive knowledge of medication access. Remains current on and anticipates changes in product coverage and access knowledge, marketplace conditions, and stakeholder practices to deliver the most effective delivery of approved materials. Understands and adapts to the changing healthcare ecosystem to customize resourcing and messaging to HCPs and HCP staff.QualificationsRequired: Bachelors degree (preferably in healthcare or business/public administration). An advanced business degree (MBA), or public health (MPH) is preferred. Minimum of 5 years of relevant professional experience Account Management and/or reimbursement experience working in the hospital and/or provider office setting, building strong customer relationship. Demonstrated expertise with pharmacy benefits and manufacturer affordability solutions (e.g. co-pay assistance) Reimbursement or relevant managed care experience (prior authorization, formulary exception 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. Experience in working with patient support HUB services. Valid US drivers license and a driving record in compliance with company standards Ability to consistently maintain up to 20% travel.Preferred: PAH disease state experience and/or rare disease experience Advanced degree and/or relevant certifications in prior authorization 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 products Excellent technical knowledge and expertise in payer policy Demonstrated competence with CRM use, Microsoft Word, and ExcelJohnson & Johnson is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by federal, state or local law. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act. Johnson & Johnson is committed to providing an interview process that is inclusive of our applicants needs. If you are an individual with a disability and would like to request an accommodation, please email the Employee Health Support Center (ra-employeehealthsup@its.jnj.com) or contact AskGS to be directed to your accommodation resource.The anticipated base pay range for this position is $102,000.00 - $177,100.00. Additional description for pay transparency: Subject to the terms of their respective plans, employees and/or eligible dependents are eligible to participate in the following company sponsored employee benefit programs: medical, dental, vision, life insurance, short- and long-term disability, business accident insurance, and group legal insurance. Subject to the terms of their respective plans, employees are eligible to participate in the companys consolidated retirement plan (pension) and savings plan (401(k)). This position is eligible to participate in the companys long-term incentive program. Subject to the terms of their respective plans and date of hire, employees are eligible for the following time off benefits: vacation 120 hours per calendar year sick time - 40 hours per calendar year; for employees who reside in the state of Washington 56 hours per calendar year 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 condolence leave 30 days for an immediate family member: 5 days for an extended family member caregiver leave 10 days volunteer leave 4 days military spouse time-off 80 hours. Additional information can be found through the link below.