Field Access & Reimbursement Lead

Brighter Signals; Worcester (MA); On-site; USD 110,000 - 140,000; Full time

Job summary

Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager for the Manchester, NH territory, which includes Manchester, NH, Springfield, MA, Worcester, MA and Portland, ME. This role focuses on patient access to Janssen therapies, educating providers on reimbursement, and resolving access issues across payer types.

The FRM will spend up to 50% on-site with HCPs, build strong relationships with customers, and

Qualifications

• Bachelor’s degree (preferably in healthcare or business/public administration). An advanced business degree (MBA), or public health (MPH)) is preferred.
• Minimum of 5 years of relevant professional experience
• Account Management and/or Reimbursement experience in provider offices and/or managed care
• Ability to establish relationships, collaborate, and influence across a matrix organization
• Experience with pharmacy and medical/buy & bill benefit design, coding, and prior authorizations

Responsibilities

• Educate HCPs on reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations
• Effectively collaborate with field support team members such as sales representatives and key account managers and serve as access, fulfillment, and reimbursement expert for the local team
• Lead compliant access and fulfillment discussions with field support team members
• Utilize data and account management skills to proactively address access barriers
• Act with a sense of urgency and accountability to address critical access and affordability issues for patients
• Partner with managed care colleagues to understand current policies and potential future changes
• Conduct field-based reimbursement and access support, education and creative problem-solving aligned to FRM Rules of Engagement
• Build strong, trust-based relationships with customers in all assigned accounts
• Manage territory logistics, routing, and account business planning
• Maintain and grow knowledge of national, regional, local, and account market dynamics including coverage and coding requirements
• Grow the knowledge of hub and specialty distribution channels to improve practice and patient support needs
• Collaborate with internal J&J departments such as marketing, sales, medical science, SCG, IBG, HCC, and PECS. Serve as SME regarding education and insights on access and affordability solutions across multiple payer types and plans
• Execute business in accordance with the highest ethical, legal, and compliance standards, including timely and successful completion of all required training

Skills

Reimbursement expertise

Account management

Data analysis

Communication skills

Relationship building

Travel planning

Education

Bachelor’s degree (healthcare or related)

MBA or MPH preferred

Tools

Salesforce CRM

Excel

Microsoft Word

Job description

Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager for the Manchester, NH territory, which includes Manchester, NH, Springfield, MA, Worcester, MA and Portland, ME. This role focuses on patient access to Janssen therapies, educating providers on reimbursement, and resolving access issues across payer types.

The FRM will spend up to 50% on-site with HCPs, build strong relationships with customers, and