Field Reimbursement Manager, Immunology Dermatology
Field Reimbursement Manager, Immunology Dermatology
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Job Description
At Johnson & Johnsonwe believe health is everything. Our strength in healthcare innovation empowers us to build aworld where complex diseases are prevented treated and curedwhere treatments are smarter and less invasive andsolutions are our expertise in Innovative Medicine and MedTech we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow and profoundly impact health for more at
Job Function:
Market AccessJob Sub Function:
ReimbursementJob Category:
ProfessionalAll Job Posting Locations:
Houston Texas United States of AmericaJob Description:
Johnson and Johnson is recruiting for a Field Reimbursement Manager Immunology-Derm to be located in Houston TX.
About Immunology
Our expertise in Innovative Medicine is informed and inspired by patients whose insights fuel our science-based advancements. Visionaries like you work on teams that save lives by developing the medicines of tomorrow.
Our Immunology team leads in the development of transformational medicines for immunological disorders and illnesses. You can influence where medicine is going by restoring health to millions of people living with immune diseases.
Join us in developing treatments finding cures and pioneering the path from lab to life while championing patients every step of the way.
Purpose: The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for education assistance and issue resolution with healthcare providers (HCPs) and their office staff with respect to patient access to J&J Immunology therapies. This role involves investing time (up to 50%) on-site with HCPs assessing their education needs and facilitating collaboration with various stakeholders.
A Day in the Life
Every patients healthcare experience is unique - shaped by personal experiences and beliefs the presence or absence of support networks provider and payer dynamics and socioeconomic factors. For many patients the decision to start or stop a treatment is overwhelming. J&J recognizes this and wants to create an experience that is personalized helpful and hopeful.
You will be responsible for:
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
Market Access Expertise:
Extensive knowledge of medication access channels (i.e. pharmacy and medical benefit 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
Qualifications/Requirements:
Bachelors 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 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 drivers license and a driving record in compliance with company standards
Ability to consistently maintain up to 50% travel
Permanent residence in the listed territory
Preferred Qualifications:
Immunology disease state experience
Advanced degree and/or relevant certifications in prior authorization and/or billing and coding
Strong market access acumen as it relates to payer approval processes and business acumen
Understanding of Medicare Medicaid and private payer initiatives affecting reimbursement of pharmaceutical and biotechnology products
Excellent technical knowledge and expertise in payer policy including all elements of reimbursement (coding coverage and payment) is preferred
Demonstrated competence with CRM use Microsoft Word and Excel
Johnson & Johnson is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity age national origin disability protected veteran status or other characteristics protected by federal state or local law. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act.
Johnson and Johnson is committed to providing an interview process that is inclusive of our applicants needs. If you are an individual with a disability and would like to request an accommodation please email the Employee Health Support Center () or contact AskGS to be directed to your accommodation resource.
Required Experience:
Manager
Employment Type
Full-Time
