Field Reimbursement Manager Immunology Dermatology – Manchester, NH – Johnson & Johnson HCS, Inc.

At Johnson & Johnsonwe believe health is everything. Our strength in healthcare innovation empowers us to build aworld where complex diseases are prevented treated and curedwhere treatments are smarter and less invasive andsolutions are our expertise in Innovative Medicine and MedTech we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow and profoundly impact health for more at

Job Function : Market Access

Job Sub Function : Reimbursement

Job Category : People Leader

All Job Posting Locations :

Concord New Hampshire United States Manchester New Hampshire United States

Job Description :

About Inno v ati v e Medicine

Our expertise in Inno v ati v e Medicine is in f ormed and inspired by patients whose insights f uel our science-based ad v ancements. V isionaries like you work on teams that sa v e li v e s by de v e loping the medicines o f tomorrow.

Join us in de v e loping treatments f inding cures and pioneering the path f rom lab to li f e while championing patients e v e ry step o f the way.

Learn more at & Johnson Inno v ati v e Medicines Patient Engagement and Customer Solutions (PECS) team is recruiting f or a F ield Reimbursement Manager which will be a f ield-based position that will include the Manchester NH; Nashua NH; Concord NH; Derry NH; and Dover NH territories.

PECS is committed to setting the standard on Patient Experience ( Px ) building more personalized seamless and supporti v e experiences to help patients start and stay on treatments across the port f olio.

Job Description :

An important aspect o f patients unmet need includes helping them start and stay on their medicine f or the best chance at treatment success. The Patient Engagement and Customer Solutions (PECS) organization ser v e s patients during their treatment journey with Janssen therapies to help o v e rcome challenges to f ul f illment on-boarding and adherence .

The F ield Reimbursement Manager ( F R M ) is responsible f or ser v ing as the primary f ield-based lead f or education assistance and issue resolution with health car e pro v iders (HCPs) and their o f f ice sta f f with respect to patient access to J&J Immunology therapies. This role in v ol v e s in v e sting time (up to 50 %) on-site with HCP s assessing their education needs and f acilitating collaboration with v arious stakeholders.

A Day in the Li f e

E v e ry patients health car e experience is unique - shaped by personal experiences and belie f s the presence or absence o f support networks pro v ider and payer dynamics and socioeconomic f actors. F or many patients the decision to start or stop treatment is o v e rwhelming. J&J recognizes this and wants to create an experience that is personalized help f ul and hope f ul.

Primary Responsibilities :

Primary responsibilities include the f ollowing. Other duties may be assigned.

Educate HCPs on product co v e rage prior authorizations and appeals reimbursement processes claims submissions procedures and coding requirements o f payer organizations (local payers go v e rnment payers etc.) f or core and launch products.

Collaborate with f ield support team members such as sales representati v e s and key account managers and ser v e as reimbursement expert f or the local team .

Act with a sense o f urgency to address critical access and a f f ordability issues f or patients .

Partner with managed car e colleagues to understand current policies and potential f uture changes .

Conduct f ield-based reimbursement and access support education and creati v e problem-sol v ing aligned to F RM Rules o f Engagement

Build strong trust-based relationships with customers in all assigned Immunology accounts .

Manage territory logistics routing and account business planning .

Maintain and grow knowledge o f national regional local and account market dynamics including co v e rage and coding requirements .

Grow the knowledge o f hub and specialty distribution channels to impro v e practice and patient support needs .

Collaborate with internal J&J departments such as marketing sales medical science SCG IBG HCC and PECS . Ser v e as subject matter expert regarding education and insights on access and a f f ordability solutions across multiple payer types and plans (i.e. Medi car e Medicaid Managed Car e Commercial) .

Execute business in accordance with the highest ethical legal and compliance standards including timely and success f ul completion o f all required training .

Market Access Expertise :

Extensi v e knowledge o f medication access channels (i.e. pharmacy and medical bene f its including buy & bill and / or assignment o f bene f it (AOB) across multiple sites o f car e

Remains current on and anticipates changes in product co v e rage and access knowledge marketplace conditions and stakeholder practices to deli v e r the most e f f ecti v e deli v e ry o f appro v e d materials .

Understands and adapts to the changing health car e ecosystem to customize resourcing and messaging to HCPs and HCP sta f f

QUALI F ICATIONS :

Bachelors degree (pre f erably in health car e or business / public administration ) . An ad v anced business degree (MBA) or public health (MPH ) is pre f erred.

Minimum o f 5 years o f rele v ant pro f essional experience

Account Management and / or Reimbursement experience working in the hospital and / or pro v ider o f f ice setting building strong customer relationships .

Demonstrated expertise with both pharmacy and medical / buy & bill bene f its (as applicable) coding and billing .

Reimbursement or rele v ant managed car e experience (re v e nue cycle buy-and-bill prior authorization coding and appeals processes)

Ability to establish relationships collaborate and in f luence across a matrix organization .

Problem-sol v ing ability to na v igate challenging access scenarios and identi f ies solutions in a timely and e f f icient manner .

Experience in working with patient support HUB ser v ices .

V alid US dri v e rs license and a dri v ing record in compliance with company standards

Ability to consistently maintain up to 50% tra v e l .

Permanent residence in the listed territory

PRE F ERRED

Immunology disease state experience

Ad v anced degree and / or rele v ant certi f ications in prior authorization and / or billing and coding

Strong market access acumen as it relates to payer appro v al process es and business acumen .

Understanding o f Medi car e Medicaid and pri v ate payer initiati v e s a f f ecting reimbursement o f pharmaceutical and biotechnology products

Excellent technical knowledge and expertise in payer policy including all elements o f reimbursement (coding co v e rage and payment) is pre f erred .

Demonstrated competence with sales f CRM use Microso f t Word and Excel

# F RM2025

#LI-Remot e

Johnson & Johnson is an Equal Opportunity Employer. All quali f ied applicants will recei v e consideration f or employment without regard to race color religion sex sexual orientation gender identity age national origin disability protected v e teran status or other characteristics protected by f ederal state or local law. We acti v e ly seek quali f ied candidates who are protected v e terans and indi v iduals with disabilities as de f ined under V E V RAA and Section 503 o f the Rehabilitation Act.

Johnson & Johnson is committed to pro v iding an inter v iew process that is inclusi v e o f our applicants needs. I f you are an indi v idual with a disability and would like to request an accommodation please contact us v ia or contact AskGS to be directed to your accommodation resource.

Required Skills : Preferred Skills :

Required Experience :

Manager

Key Skills

Time Management,Construction Experience,Managed Care,Management Experience,Microsoft Outlook,Utilization Management,Case Management,Pediatrics Experience,Salesforce,Relationship Management,Leadership Experience,Supervising Experience

Employment Type : Full-Time

Experience : years

Vacancy : 1