Hybrid Field Reimbursement Manager, Immunology – GI

at OneTrust

• Job title: Field Reimbursement Manager, Immunology – GI
• Job type: Full Time
• Experience level: Mid level, Senior
• Salary: Not specified
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, Milwaukee, United States

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