Field Reimbursement Manager, Rheumatology

🔥 12 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, assess education needs, and facilitate stakeholder collaboration • 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 and key account managers as the local reimbursement expert • Address critical patient access and affordability issues with urgency • Partner with managed care colleagues to understand current policies and potential changes • Conduct field-based reimbursement and access support, education, and creative problem-solving under FRM Rules of Engagement • Build trust-based relationships with customers across assigned Immunology accounts • Manage territory logistics, routing, and account business planning • Maintain knowledge of national, regional, local, and account market dynamics, including coverage and coding requirements • Develop knowledge of hub and specialty distribution channels to improve practice and patient support • Collaborate with internal 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, Commercial, and other payer plans • Execute business according to 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 working in the hospital and/or provider office setting, building strong customer relationships • Demonstrated 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 solutions • Experience working with patient support HUB services • Valid US driver’s license and driving record in compliance with company standards • Ability to consistently maintain up to 50% travel • Permanent residence in the listed territory • Preferred: Immunology disease state experience • Preferred: Advanced degree and/or relevant certifications in prior authorization and/or billing and coding • Strong market access and business acumen • Understanding of Medicare, Medicaid, and private payer initiatives affecting pharmaceutical and biotechnology reimbursement • Technical knowledge of payer policy, including coding, coverage, and payment • Competence using Salesforce.com CRM, Microsoft Word, and Excel • Commitment to learning emerging technologies such as AI

🏖️ Benefits

• Consolidated retirement plan (pension) • Savings plan (401(k)) • Long-term incentive program • Vacation – 120 hours per calendar year • Sick time – 40 hours per calendar year; 48 hours for employees residing in Colorado; 56 hours for employees residing in Washington • 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