Field Reimbursement Manager – GI

Jobtailor; Deutschland; Hybrid; EUR 70.000 - 110.000; Vollzeit

Zusammenfassung

Johnson & Johnson Immunology field team seeks a senior reimbursement and market access professional to lead education and access initiatives for providers. You will front-line educate on coverage, prior authorizations, and appeals while collaborating with sales and managed care to resolve payer hurdles.

Travel up to 50% is required to support providers and drive patient access. A strong background in coding, billing, and revenue cycle is essential for success in this role.

Qualifikationen

• Bachelor’s degree in healthcare or business/public administration.
• Minimum of 5 years of relevant professional experience.
• Account Management and/or Reimbursement experience in the provider office setting.
• Expertise with pharmacy and medical/buy & bill benefits, coding, and billing.
• Reimbursement or managed care experience, including revenue cycle, buy-and-bill, prior authorization, coding, and appeals.

Aufgaben

• Serve as primary field-based lead for patient access to immunology therapies.
• Educate providers on product coverage, prior authorizations, and reimbursement processes.
• Collaborate with sales reps, account managers, and managed care colleagues.
• Act as reimbursement expert for access and affordability solutions.
• Build relationships with customers in assigned Immunology accounts.
• Manage territory logistics, routing, and business planning.
• Stay current on coverage, coding requirements, and payer initiatives.

Kenntnisse

Relationship Building

Collaboration

Communication

Influencing

Problem-Solving

Ausbildung

Bachelor's degree in healthcare or business/public administration

Advanced degree in healthcare or business

Tools

Salesforce.com CRM

Microsoft Word

Microsoft Excel

Patient Support HUB Services

Jobbeschreibung

• Serve as the primary field-based lead for education, assistance, and issue resolution regarding patient access to J&J Immunology therapies
• Invest up to 50% of time on-site with healthcare providers and assess their education needs
• Educate healthcare providers on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and payer coding requirements
• Collaborate with sales representatives, key account managers, managed care colleagues, and other internal J&J departments
• Serve as the local team’s reimbursement expert and subject matter expert on access and affordability solutions
• Address critical patient access and affordability issues with urgency
• 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
• Execute business according to ethical, legal, and compliance standards and complete required training
• Remain current on product coverage, access knowledge, marketplace conditions, and stakeholder practices
• Customize resources and messaging for healthcare providers and staff as the healthcare ecosystem changes

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 provider office setting
• 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
• Superior written and verbal communication skills and efficient follow-through
• 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
• Immunology disease state experience preferred
• Advanced degree and/or relevant certifications in prior authorization and/or billing and coding preferred
• Strong market access and business acumen preferred
• Understanding of Medicare, Medicaid, and private payer initiatives affecting pharmaceutical and biotechnology product reimbursement
• Technical knowledge of payer policy, including coding, coverage, and payment preferred
• Salesforce.com CRM, Microsoft Word, and Excel proficiency
• Commitment to learning emerging technologies such as AI preferred

Core Competencies

Demonstrates expertise in patient access and reimbursement processes, including prior authorization, coding, and appeals. Proven ability to build relationships and collaborate effectively within a matrix organization while maintaining compliance with ethical and legal standards.

Highest-signal resume keywords

• Patient Access Expertise
• Reimbursement Experience
• Account Management
• Healthcare Provider Education
• Market Access Knowledge

ATS Optimization Keywords

Hard Skills

• Prior Authorization
• Coding
• Billing
• Revenue Cycle Management
• Pharmacy Benefits
• Medical Benefits
• Claims Submission
• Payer Coding Requirements
• Problem-Solving
• Immunology Disease State Knowledge

Soft Skills

• Relationship Building
• Collaboration
• Communication
• Influencing
• Problem-Solving

Certifications & Qualifications

• Advanced Degree in Healthcare or Business
• Relevant Certifications in Prior Authorization
• Billing and Coding Certifications

Industry Keywords

• Medicare
• Medicaid
• Private Payer Initiatives
• Pharmaceutical Reimbursement
• Biotechnology Reimbursement

Tools & Technologies

• Salesforce.com CRM
• Microsoft Word
• Microsoft Excel
• Patient Support HUB Services