Field Reimbursement Manager, Dermatology

Vaga não está no LinkedIn

🕒 Agosto 25

🗽 New York – Remoto

🗽 New York – Remote

💵 $102.000 - $177.100 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

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Johnson & Johnson

SiteLinkedInTodas as Vagas

10.000+ funcionários

🏥 Saúde

💊 Farmacêutico

🧬 Biotecnologia

Healthcare • Pharmaceuticals • Biotechnology

<Johnson & Johnson> é uma empresa global de saúde que pesquisa, desenvolve, fabrica e comercializa produtos farmacêuticos, dispositivos médicos e produtos de saúde para consumidores. A empresa foca em medicamentos e terapias inovadoras nas áreas de oncologia, imunologia, neurociência e cardiopulmonar, além de desenvolver soluções MedTech em cardiovascular, ortopedia, cirurgia e visão. A Johnson & Johnson também atua na educação para saúde e bem-estar, fabricação em larga escala, atividades para investidores e iniciativas de impacto social global.

Descrição

• Serve as the primary field-based lead for education, assistance, and issue resolution regarding patient access to J&J Immunology therapies • Spend up to 50% of time on-site with healthcare providers and assess their education needs • Educate healthcare providers on product coverage, prior authorizations, appeals, reimbursement processes, claims submissions, procedures, and payer coding requirements • Facilitate collaboration with healthcare stakeholders • Collaborate with sales representatives and key account managers as the local reimbursement expert • Address critical patient access and affordability issues with urgency • Partner with managed care colleagues on current policies and potential future changes • Conduct field-based reimbursement and access support, education, and creative problem-solving under FRM Rules of Engagement • Build trust-based relationships with customers in assigned Immunology accounts • Manage territory logistics, routing, and account business planning • Maintain knowledge of market dynamics, coverage, and coding requirements • Develop knowledge of hub and specialty distribution channels • 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, and Commercial plans • Complete required training and execute business according to ethical, legal, and compliance standards • Anticipate changes in product coverage, access knowledge, marketplace conditions, and stakeholder practices • Customize resourcing and messaging for healthcare providers and staff

🎯 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 • 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 competence preferred • Commitment to learning emerging technologies such as AI

🏖️ Benefícios

• Consolidated retirement plan (pension) • Savings plan (401(k)) • Eligibility for the 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