Field Reimbursement Manager, Rheumatology
Johnson & Johnson
full-time
Posted on:
Location Type: Hybrid
Location: Miami • Florida • United States
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About the role
- Serve as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs)
- Invest time (up to 50%) on-site with HCPs, assessing their education needs and facilitating collaboration with various stakeholders
- Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations
- 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
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 hospital and/or provider office setting
- Demonstrated expertise with both pharmacy and medical/buy & bill benefits (as applicable), 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
- 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
- Professional development opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
reimbursement processesclaims submissionscoding requirementsprior authorizationbillingmanaged carerevenue cyclebuy-and-billpharmacy benefitsmedical benefits
Soft Skills
relationship buildingcollaborationinfluenceproblem-solvingcommunicationurgencycreativitytrust-buildingeducation facilitationstakeholder engagement
Certifications
Bachelor’s degree