Field Reimbursement Manager – Immunology, Dermatology

Job not on LinkedIn

🕒 July 31

⚔️ 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

🏥 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

• 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 field support stakeholders • Address critical patient access and affordability issues • Conduct 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 to improve practice and patient support • Collaborate with internal Johnson & Johnson departments including marketing, sales, medical science, SCG, IBG, HCC, and PECS • Serve as a subject matter expert on access and affordability solutions across Medicare, Medicaid Managed Care, Commercial, and other payer plans • Execute business according to ethical, legal, and compliance standards • Anticipate changes in product coverage, access, marketplace conditions, and stakeholder practices • Customize approved materials, resourcing, and messaging for healthcare providers and staff

🎯 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 • Experience building strong customer relationships • 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 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 prior authorization or billing and coding certifications preferred • Understanding of Medicare, Medicaid, and private payer initiatives affecting pharmaceutical and biotechnology reimbursement • Salesforce.com CRM, Microsoft Word, and Excel proficiency

🏖️ 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 • 10 days Volunteer Leave – 32 hours per calendar year • Military Spouse Time-Off – 80 hours per calendar year