Field Reimbursement Manager – GI

Stelle nicht auf LinkedIn

🔥 vor 16 Stunden

🏄 California – Remote

🏄 California – Remote

💵 $102.000 - $177.100 / Jahr

⏰ Vollzeit

🟡 Mittelstufe

🟠 Senior

👔 Manager

🦅 H1B-Visum-Sponsor

Dieses Unternehmen hat in der Vergangenheit H1B-Visa gesponsert.

👻 Geisterscore 0%

Was es bedeutet: wie wahrscheinlich diese Stelle offen bleibt, ohne dass aktiv eingestellt wird.So liest du es: 60 % oder höher heißt, wir halten das für einen Geisterjob. Niedrigere Werte sind weniger bedenklich.Wie wir werten: Dauer offen, Neuveröffentlichungen, offene Stellen vs Teamgröße, wie schnell Stellen geschlossen werden, und ob ein Gehalt angegeben ist.Hinweis: eine Schätzung aus öffentlichen Daten, kein Urteil über das Unternehmen. Echte Stellen können hoch punkten, nutze es also als Hinweis, nicht als Fakt.

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Johnson & Johnson

WebsiteLinkedInAlle Stellen

10.000+ Mitarbeiter

🏥 Gesundheitswesen

💊 Pharmazie

🧬 Biotechnologie

Healthcare • Pharmaceuticals • Biotechnology

<Johnson & Johnson> ist ein globales Gesundheitsunternehmen, das sich mit der Erforschung, Entwicklung, Herstellung und Vermarktung von Pharmazeutika, Medizinprodukten und Produkten für die Gesundheitspflege beschäftigt. Das Unternehmen konzentriert sich auf innovative Arzneimittel und Therapien in den Bereichen Onkologie, Immunologie, Neurowissenschaften und Kardiopulmonar. Zudem entwickelt Johnson & Johnson Medizintechniklösungen in den Bereichen Herz-Kreislauf, Orthopädie, Chirurgie und Sehhilfen. Johnson & Johnson engagiert sich zudem in der Gesundheits- und Wellness-Bildung, der großflächigen Fertigung, Investorenaktivitäten und globalen sozialen Initiativen.

Beschreibung

• Serve as the primary field-based lead for education, assistance, and issue resolution with healthcare providers and office staff regarding patient access to J&J Immunology therapies • Spend up to 50% of time on-site with healthcare providers, assess education needs, and facilitate stakeholder collaboration • Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and payer coding requirements • Collaborate with sales representatives and key account managers and serve as the local reimbursement expert • Address critical access and affordability issues for patients with urgency • 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 assigned Immunology accounts • Manage territory logistics, routing, and account business planning • Maintain and grow knowledge of market dynamics, coverage, and coding requirements • Grow 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 types • 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 • Adapt to the healthcare ecosystem to customize resources and messaging for HCPs and staff

🎯 Anforderungen

• 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, building strong customer relationship • Demonstrated expertise with both 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 in a timely and efficient manner • Superior written and verbal communication skills and efficient follow-through • Experience working with patient support HUB services • Valid US driver’s license and a driving record in compliance with company standards • Ability to consistently maintain up to 50% travel • Permanent residence in the listed territory • Advanced business degree (MBA) or public health degree (MPH) preferred • 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 reimbursement of pharmaceutical and biotechnology products preferred • Salesforce.com CRM, Microsoft Word, and Excel experience preferred • Commitment to learning emerging technologies such as AI preferred

🏖️ Vorteile

• 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; for employees who reside in the State of Colorado –48 hours per calendar year; for employees who reside in the State of Washington –56 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 period10 days • Volunteer Leave – 32 hours per calendar year • Military Spouse Time-Off – 80 hours per calendar year