Field Reimbursement Manager – Immunology, GI
Johnson & Johnson
full-time
Posted on:
Location Type: Office
Location: Tucson • Arizona • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- 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 managers 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 FRM Rules of Engagement.
- 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 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, IBG, 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).
Requirements
- Bachelor’s degree (preferably 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 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 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.
Benefits
- Health insurance
- 401(k) matching
- Paid time off
- Flexible work arrangements
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
reimbursement processesclaims submissionscoding requirementspharmacy benefitsmedical benefitsbuy & billprior authorizationappeals processesrevenue cycleaccount management
Soft skills
relationship buildingcollaborationinfluenceproblem-solvingcommunicationtime managementeducationcreative problem-solvingtrust-buildingurgency
Certifications
Bachelor’s degree in healthcareBachelor’s degree in business administrationvalid US driver’s license