Field Reimbursement & Access Lead

Johnson & Johnson Co.; Tulsa (OK); Presencial; USD 90.000 - 150.000; Jornada completa

Descripción de la vacante

Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team seeks a Field Reimbursement Manager for the Oklahoma City territory, covering OKC, Fort Worth, Tulsa and Amarillo. This role focuses on educating providers about reimbursement, resolving access barriers, and partnering with sales, marketing, and payers to improve patient access.

The FRM will travel up to 75% and work with healthcare providers to support Janssen therapies, ensuring compliant access and

Formación

• 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 working in the provider office setting, building strong customer relationship.
• Demonstrated expertise with both pharmacy and medical/buy & bill benefit design, coding, billing, prior authorizations, office operations, and appeals processes.
• Reimbursement or relevant managed care experience (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 identifies solutions in a timely and efficient manner.
• Superior communication skills (written and verbal) and efficient follow-through.
• Experience in working with patient support HUB services.
• Valid US driver’s license and a driving record in compliance with company standards.
• Permanent residence in the listed territory.

Responsabilidades

• Educate HCPs on reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, etc.).
• 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 subject matter expert regarding education and insights on access and affordability solutions across multiple payer types and plans (i.e., Medicare, Medicaid Managed Care, Commercial).
• Execute business in accordance with the highest ethical, legal, and compliance standards, including timely and successful completion of all required training

Conocimientos

Account Management

Reimbursement

Data analysis

Communication

Relationship building

Sales collaboration

Educación

Bachelor's degree

MBA/MPH preferred

Descripción del empleo

Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team seeks a Field Reimbursement Manager for the Oklahoma City territory, covering OKC, Fort Worth, Tulsa and Amarillo. This role focuses on educating providers about reimbursement, resolving access barriers, and partnering with sales, marketing, and payers to improve patient access.

The FRM will travel up to 75% and work with healthcare providers to support Janssen therapies, ensuring compliant access and