Field Reimbursement Manager, Dermatology

Job not on LinkedIn

🔥 13 hours ago

🗽 New York – Remote

🗽 New York – 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 • Spend up to 50% of time on-site with healthcare providers and assess their education needs • Educate healthcare providers on product coverage, prior authorizations, appeals, reimbursement processes, claims submissions, procedures, and payer coding requirements • Facilitate collaboration with healthcare stakeholders • Collaborate with sales representatives and key account managers as the local reimbursement expert • Address critical patient access and affordability issues with urgency • Partner with managed care colleagues on current policies and potential future changes • 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 • 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, and Commercial plans • Complete required training and execute business according to ethical, legal, and compliance standards • Anticipate changes in product coverage, access knowledge, marketplace conditions, and stakeholder practices • Customize resourcing and messaging for healthcare providers and staff

🎯 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 • 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 timely, efficient solutions • Experience working with patient support HUB services • Valid US driver’s license and driving record compliant 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 • Understanding of Medicare, Medicaid, and private payer initiatives affecting pharmaceutical and biotechnology product reimbursement • Salesforce.com CRM, Microsoft Word, and Excel competence preferred • Commitment to learning emerging technologies such as AI

🏖️ Benefits

• Consolidated retirement plan (pension) • Savings plan (401(k)) • Eligibility for the 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