Hybrid Field Reimbursement Manager – Immunology Rheumatology

at Johnson & Johnson

• Job title: Field Reimbursement Manager – Immunology Rheumatology
• Job type: Full Time
• Experience level: Mid level, Senior
• Salary: $100,000 - $175,000 per year
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, Orange County, United States

About the role

• Field Reimbursement Manager in California for Johnson & Johnson, focusing on patient access to Immunology therapies and provider education. This role involves collaboration and on-site support with healthcare providers.

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 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).
• Execute business in accordance with the highest ethical, legal, and compliance standards, including timely and successful completion of all required training.
• Extensive knowledge of medication access channels (i.e., pharmacy and medical benefits including buy & bill and/or assignment of benefit (AOB) across multiple sites of care.
• 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.

Requirements

• Bachelor’s 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 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

• medical, dental, vision, life insurance
• short- and long-term disability
• business accident insurance
• group legal insurance
• retirement plan (pension) and savings plan (401(k))
• 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