Field Reimbursement Manager, CAR-T

Job not on LinkedIn

🔥 3 hours ago

🦌 Connecticut, Maine, +6 more states – Remote

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

💵 $102k - $177.1k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

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Johnson & Johnson

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1886

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

Johnson & Johnson is a multinational corporation focused on innovating across multiple sectors of healthcare and medicine. With a commitment to redefining healthcare, the company merges science and technology to address complex diseases through its divisions in innovative medicine and medical technology. Its areas of focus include oncology, immunology, neuroscience, and specialty ophthalmology, as well as interventional solutions and orthopaedics. J&J is dedicated to advancing global health equity and environmental sustainability while fostering innovation, diversity, and inclusion in the workplace. The company strives to provide solutions that connect health and care for providers, patients, and communities worldwide.

📋 Description

• 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

🎯 Requirements

• 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

🏖️ Benefits

• 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