Manager leading HR Service Centre for Peel Region, accountable for employee lifecycle experience and HR technology. You'll ensure seamless employee interactions with HR systems and compliance.
About the role
- Field Reimbursement Manager responsible for managing patient access and education for J&J Immunology therapies. Engaging with healthcare providers and resolving patient access issues in the Milwaukee, WI area.
Responsibilities
- 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
- Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements
- Collaborate with field support team members such as sales representatives and key account managers
- 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
- Execute business in accordance with the highest ethical, legal, and compliance standards
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, building strong customer relationship
- 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
- N/A
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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