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
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