Field Reimbursement Manager Immunology

4 weeks ago


Dallas, Texas, United States J&J Family of Companies Full time
Job Description:

Johnson & Johnson is seeking a highly skilled Field Reimbursement Manager to join our Immunology team. As a key member of our Patient Engagement and Customer Solutions (PECS) organization, you will play a critical role in helping patients access our innovative therapies.

Key Responsibilities:
  • Educate healthcare providers on product coverage, prior authorizations, and reimbursement processes.
  • Collaborate with field support team members to provide reimbursement expertise and support.
  • 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.
  • Build strong, trust-based relationships with customers in all assigned Immunology accounts.
  • Manage territory logistics, routing, and account business planning.
  • Maintain and grow knowledge of national, regional, local, and account market dynamics.
  • Grow the knowledge of hub and specialty distribution channels to improve practice and patient support needs.
  • Collaborate with internal J&J departments to execute business in accordance with the highest ethical, legal, and compliance standards.
Requirements:
  • Bachelor's degree 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.
  • Demonstrated expertise with pharmacy and medical/buy & bill benefits, coding, and billing.
  • Reimbursement or relevant managed care experience.
  • Ability to establish relationships, collaborate, and influence across a matrix organization.
  • Problem-solving ability to navigate challenging access scenarios.
  • Superior communication skills 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.
Preferred Qualifications:
  • 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).
  • Demonstrated competence with CRM use, Microsoft Word, and Excel.
Why Join Us:

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. We are 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 our portfolio.

We foster a culture of inclusion and belonging where all perspectives, abilities, and experiences are valued, and our people can reach their potential. We are an Affirmative Action and Equal Opportunity Employer, and we welcome applications from diverse candidates.



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