Field Reimbursement Manager – Immunology, Dermatology

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🕒 August 1

⚔️ Virginia – Remote

⚔️ Virginia – Remote

💵 $102k - $177.1k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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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

• Educate healthcare providers and office staff on product coverage, prior authorizations, 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 reimbursement expert for the local team 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 • 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 to improve practice and patient support • Deliver education and insights across Medicare, Medicaid Managed Care, Commercial, pharmacy, and medical benefit environments • Monitor product coverage, access conditions, marketplace changes, and stakeholder practices • Customize approved materials, resourcing, and messaging for healthcare providers and staff • Execute business in accordance with ethical, legal, and compliance standards and complete required training

🎯 Requirements

• 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 • Demonstrated expertise with pharmacy and medical/buy-and-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 U.S. driver’s license and driving record compliant with company standards • Ability to maintain up to 50% travel • Permanent residence in the listed territory • Immunology disease-state experience preferred • Advanced degree and/or relevant prior authorization or billing and coding certifications preferred • Strong market access and business acumen preferred • Understanding of Medicare, Medicaid, and private payer initiatives affecting pharmaceutical and biotechnology reimbursement • Technical knowledge of payer policy and reimbursement elements preferred • Competence with Salesforce.com CRM, Microsoft Word, and Excel • Must execute work according to applicable ethical, legal, and compliance standards

🏖️ Benefits

• 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 reasonable accommodation support