Hybrid Field Reimbursement Manager, Immunology – GI

Posted 6 days ago

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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

Field Reimbursement Manager, Immunology – GI

Job type

Experience level

Mid levelSenior

Salary

Not specified

Degree requirement

Bachelor's Degree

Location requirements

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