Field Reimbursement Manager, CAR-T

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🕒 vor 1 Tag

🦌 Connecticut, Maine, +6 weitere Bundesländer – Remote

🦌 Connecticut – Remote 🦞 Maine – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🍂 Massachusetts – Remote ⚓ Rhode Island – Remote 🍁 Vermont – Remote

💵 $102.000 - $177.100 / Jahr

⏰ Vollzeit

🟡 Mittelstufe

🟠 Senior

👔 Manager

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Johnson & Johnson

WebsiteLinkedInAlle Stellen

10.000+ Mitarbeiter

Gegründet 1886

🏥 Gesundheitswesen

⚕️ Krankenversicherung

💊 Pharmazie

Healthcare • Healthcare Insurance • Pharmaceuticals

Johnson & Johnson ist ein globales Gesundheitsunternehmen, das Arzneimittel, Therapien und medizinische Geräte in verschiedenen therapeutischen Bereichen entdeckt, entwickelt, herstellt und vermarktet, darunter Onkologie, Neurowissenschaften, Immunologie, Herz-Lungen- und Herz-Kreislauf-Versorgung, Orthopädie, Chirurgie und Augenheilkunde. Das Unternehmen betreibt groß angelegte Forschungs- und Entwicklungsprogramme, klinische Entwicklungs- und Fertigungsprogramme und ist auch aktiv in Mitarbeiterprogrammen, Nachhaltigkeit, globalen Gesundheitsinitiativen und gesellschaftlichem Engagement weltweit.

Beschreibung

• Serve as the primary field-based lead for education, assistance, and issue resolution regarding CAR-T reimbursement • Spend up to 75% of time potentially on-site with customers assessing education needs and facilitating stakeholder collaboration • Educate office staff on access and payer approval processes, access barriers, and actions supporting therapy access • Monitor, analyze, and triage situations that may adversely impact patient access to therapy • Liaise with Market Access, sales, medical, and other internal groups to identify and resolve patient-access issues • Serve as subject matter expert on Medicare treatment guidelines, Medicaid Managed Care, commercial plans, policy changes, formulary status, and healthcare reform impacts on coverage • Maintain and share account contacts, prior authorization requirements, trends, and competitive intelligence with the Market Access Department • Educate Customer Care Area peers on Market Access, reimbursement, medical coverage policies, and medical benefit design • Conduct business according to ethical, legal, and compliance standards and complete required training

🎯 Anforderungen

• A minimum of a Bachelor’s degree is required • Five years of relevant experience, including three years in specialty disease state(s) • Must live within the assigned geographic region; candidates in other states may be considered • Extensive technical knowledge of payer policy and reimbursement, including coding, coverage, and payment • Extensive experience in revenue cycle, buy-and-bill, formulary, prior authorization, coding, and appeals processes • Must live in close proximity to a major airport • Valid Driver's License issued in the United States • Advanced degree or clinical license preferred • Two years of reimbursement or relevant managed care experience preferred • Experience in multiple myeloma or related oncology areas preferred • Knowledge of payer approval processes and business acumen • Strong organizational, problem-solving, and project management skills • Understanding of national and state legislative, Medicare, Medicaid, and private payer initiatives affecting pharmaceutical and biotechnology reimbursement • Salesforce.com CRM, native iOS apps, Microsoft Word, and Excel proficiency • Superior written and verbal communication skills and excellent follow-through • Experience in field-based reimbursement and oncology preferred • Ability to develop and execute education plans • Demonstrated ability to conduct field-based reimbursement and access support, education, and consultation • Commitment to learning and applying emerging technologies such as AI • Ability to obtain and maintain access to a national airport

🏖️ Vorteile

• Consolidated retirement plan (pension) • Savings plan (401(k)) • 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 • 10 days Volunteer Leave – 32 hours per calendar year • Military Spouse Time-Off – 80 hours per calendar year • Inclusive interview process and accommodation support for applicants with disabilities