Field Reimbursement Manager, Dermatology

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🕒 Agosto 25

🗽 New York – Remoto

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💵 $102.000 - $177.100 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

🦅 Patrocina Visto H1B

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🗣️🇺🇸🇬🇧 Inglês obrigatório

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Logo of Johnson & Johnson

Johnson & Johnson

10.000+ funcionários

Fundada em 1886

🏥 Saúde

⚕️ Seguro de Saúde

💊 Farmacêutico

Healthcare • Healthcare Insurance • Pharmaceuticals

Johnson & Johnson é uma empresa global de saúde que descobre, desenvolve, fabrica e comercializa medicamentos, terapias e dispositivos médicos em várias áreas terapêuticas, incluindo oncologia, neurociência, imunologia, cuidados cardiopulmonares e cardiovasculares, ortopedia, cirurgia e visão. A empresa opera programas de pesquisa e desenvolvimento em grande escala, desenvolvimento clínico e fabricação, além de estar ativa em programas para funcionários, sustentabilidade, iniciativas de saúde global e engajamento comunitário em todo o mundo.

Descrição

• Serve as the primary field-based lead for education, assistance, and issue resolution concerning patient access to J&J Immunology therapies • Invest up to 50% of time on-site with healthcare providers and assess their education needs • Educate healthcare providers on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and payer coding requirements • Collaborate with sales representatives, key account managers, managed care colleagues, and other field support teams • Address critical patient access and affordability issues with urgency • Provide field-based reimbursement and access support, education, and creative problem-solving • Build strong, trust-based relationships with customers in assigned Immunology accounts • Manage territory logistics, routing, and account business planning • Maintain knowledge of national, regional, local, and account market dynamics, including coverage and coding requirements • Develop knowledge of hub and specialty distribution channels to improve practice and patient support • Collaborate with internal J&J departments including marketing, sales, medical science, SCG, IBG, HCC, and PECS • Serve as subject matter expert on access and affordability solutions across Medicare, Medicaid Managed Care, Commercial, and other payer plans • Execute business in accordance with ethical, legal, and compliance standards and complete required training • Anticipate changes in product coverage, access knowledge, marketplace conditions, and stakeholder practices • Customize resourcing and messaging for healthcare providers and staff within the changing healthcare ecosystem

🎯 Requisitos

• Bachelor’s degree required, preferably in healthcare or business/public administration • Minimum of 5 years of relevant professional experience • Account Management and/or Reimbursement experience in hospital and/or provider office settings • Demonstrated expertise with pharmacy and medical/buy & bill benefits, coding, and billing • Reimbursement or relevant managed care experience, including 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 identify timely, efficient solutions • Experience working with patient support HUB services • Valid US driver’s license and driving record compliant with company standards • Ability to consistently maintain up to 50% travel • Permanent residence in the listed territory • Immunology disease state experience preferred • Advanced degree and/or relevant certifications in prior authorization and/or billing and coding preferred • Understanding of Medicare, Medicaid, and private payer initiatives affecting pharmaceutical and biotechnology product reimbursement • Salesforce.com CRM, Microsoft Word, and Excel preferred • Commitment to learning emerging technologies such as AI

🏖️ Benefícios

• Consolidated retirement plan (pension) • Savings plan (401(k)) • Long-term incentive program • Vacation – 120 hours per calendar year • Sick time – 40 hours per calendar year • Holiday pay, including Floating Holidays – 13 days per calendar year • Work, Personal and Family Time – up to 40 hours per calendar year • Parental Leave – 480 hours within one year of the birth/adoption/foster care of a child • Bereavement Leave – 240 hours for an immediate family member; 40 hours for an extended family member per calendar year • Caregiver Leave – 80 hours in a 52-week rolling period • Volunteer Leave – 32 hours per calendar year • Military Spouse Time-Off – 80 hours per calendar year • Inclusive interview process and disability accommodations

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