Field Reimbursement Manager, Dermatology

🔥 0 minutes ago

🎸 Tennessee – Remote

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⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

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👻 Ghost score 10%

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Logo of Johnson & Johnson

Johnson & Johnson

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 • Educate healthcare providers and office staff on product coverage, prior authorizations, appeals, reimbursement processes, claims submissions, procedures, and payer coding requirements • Invest up to 50% of time onsite with healthcare providers, assess education needs, and facilitate stakeholder collaboration • Collaborate with sales representatives, key account managers, managed care colleagues, and 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 • Provide field-based reimbursement and access support, education, and creative problem-solving • Build trust-based relationships with customers across 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 • Execute business in accordance with ethical, legal, and compliance standards and complete required training

🎯 Requirements

• Bachelor’s degree (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 • Experience working with patient support HUB services • Valid US 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 certifications in prior authorization and/or billing and coding preferred • Understanding of Medicare, Medicaid, and private payer initiatives affecting pharmaceutical and biotechnology reimbursement • Salesforce.com CRM, Microsoft Word, and Excel proficiency preferred • Commitment to learning emerging technologies such as AI

🏖️ Benefits

• Inclusive work environment • Equal opportunity employment • Disability accommodations during the interview process

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