Field Reimbursement Lead - Patient Access

Johnson & Johnson MedTech; San Diego (CA); On-site; USD 102,000 - 177,000; Full time

Job summary

Johnson & Johnson is seeking a Field Reimbursement Manager to support the San Diego, CA territory and neighboring states. You will educate HCPs on reimbursement processes, collaborate with sales and support teams, and address access barriers to ensure patients can start and stay on Janssen therapies.

The role requires strong knowledge of payer policies, prior authorizations, coding, and experience in a provider office setting. Up to 75% travel is involved.

Qualifications

• 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.

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

Account Management

Analytical Reasoning

Competitive Landscape Analysis

Compliance Management

Cross-Functional Collaboration

Developing Others

Fact-Based Decision Making

Inclusive Leadership

Leadership

Market Access Reimbursement

Market Opportunity Assessment

Operational Excellence

Performance Measurement

Pricing Strategies

Relationship Building

Strategic Thinking

Team Management

Education

Bachelor’s degree

Tools

Salesforce CRM

Microsoft Word

Excel

Job description

Johnson & Johnson is seeking a Field Reimbursement Manager to support the San Diego, CA territory and neighboring states. You will educate HCPs on reimbursement processes, collaborate with sales and support teams, and address access barriers to ensure patients can start and stay on Janssen therapies.

The role requires strong knowledge of payer policies, prior authorizations, coding, and experience in a provider office setting. Up to 75% travel is involved.