Field Reimbursement Manager – GI

Job not on LinkedIn

🕒 September 4

🏈 Ohio – Remote

🏈 Ohio – Remote

💵 $102k - $177.1k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Johnson & Johnson

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

💊 Pharmaceuticals

🧬 Biotechnology

Healthcare • Pharmaceuticals • Biotechnology

<Johnson & Johnson> is a global healthcare company that researches, develops, manufactures and markets pharmaceuticals, medical devices and consumer health products. The company focuses on innovative medicines and therapies across oncology, immunology, neuroscience and cardiopulmonary areas, and develops MedTech solutions in cardiovascular, orthopaedics, surgery and vision. Johnson & Johnson also engages in health & wellness education, large-scale manufacturing, investor activities and global social-impact initiatives.

📋 Description

• Serve as the primary field-based lead for education, assistance, and issue resolution regarding 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 internal J&J departments • Serve as the local team’s reimbursement expert and subject matter expert on access and affordability solutions • Address critical patient access and affordability issues with urgency • 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 • Execute business according to ethical, legal, and compliance standards and complete required training • Remain current on product coverage, access knowledge, marketplace conditions, and stakeholder practices • Customize resources and messaging for healthcare providers and staff as the healthcare ecosystem changes

🎯 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 • 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 solutions • Superior written and verbal communication skills and efficient follow-through • Experience working with patient support HUB services • Valid US driver’s license and driving record in compliance 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 • Strong market access and business acumen preferred • Understanding of Medicare, Medicaid, and private payer initiatives affecting pharmaceutical and biotechnology product reimbursement • Technical knowledge of payer policy, including coding, coverage, and payment preferred • Salesforce.com CRM, Microsoft Word, and Excel proficiency • Commitment to learning emerging technologies such as AI preferred

🏖️ Benefits

• Company 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