Field Reimbursement & Access Leader

Johnson & Johnson MedTech

Newark (NJ)

On-site

USD 102,000 - 177,000

Full time

20 hours ago
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Job summary

Johnson & Johnson is seeking a Field Reimbursement Manager to serve as the primary field-based lead for education and issue resolution with healthcare providers on patient access to neuroscience therapies. This role involves up to 75% travel and collaboration with multiple internal teams to resolve reimbursement and access challenges.

The FRM will educate providers on reimbursement processes, manage territory logistics, and build trust-based relationships across accounts while ensuring

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 working in the provider office setting, building strong customer relationship
  • 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

Responsibilities

  • 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

Skills

Reimbursement expertise
Account management
Data analysis
Communication
Travel readiness
Stakeholder management

Education

Bachelor’s degree (healthcare or business/public administration)
MBA or MPH preferred

Tools

Salesforce CRM
MS Word & Excel

Job description

Johnson & Johnson is seeking a Field Reimbursement Manager to serve as the primary field-based lead for education and issue resolution with healthcare providers on patient access to neuroscience therapies. This role involves up to 75% travel and collaboration with multiple internal teams to resolve reimbursement and access challenges.

The FRM will educate providers on reimbursement processes, manage territory logistics, and build trust-based relationships across accounts while ensuring

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