Field Reimbursement Leader – Access & Patient Support

Brighter Signals; Dayton (OH); On-site; USD 102,000 - 177,000; Full time

Job summary

Johnson & Johnson in the United States is seeking a Field Reimbursement Manager to lead education and access initiatives across the Indianapolis, IN, and surrounding territories, including Cincinnati, OH and Dayton, OH. This role involves up to 75% travel to on-site HCP engagements, payer discussions, and cross-functional collaboration to optimize patient access to Janssen therapies.

The candidate will bring deep reimbursement knowledge (pharmacy/medical buy & bill), 5+ years of experience, and

Qualifications

• Bachelor’s degree (preferably in healthcare or business/public administration). An advanced business degree (MBA), or public health (MPH) preferred.
• Minimum of 5 years of relevant professional experience
• Account Management and/or Reimbursement experience in a provider office setting, building strong customer relationships
• 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

Responsibilities

• Educate HCPs on reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations
• Collaborate with field support team members 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

Medication access

Critical thinking

Data analysis

Curiosity

Market awareness

Healthcare ecosystem

Education

Bachelor's degree

MBA preferred

Tools

Salesforce CRM

Microsoft Word

Excel

Job description

Johnson & Johnson in the United States is seeking a Field Reimbursement Manager to lead education and access initiatives across the Indianapolis, IN, and surrounding territories, including Cincinnati, OH and Dayton, OH. This role involves up to 75% travel to on-site HCP engagements, payer discussions, and cross-functional collaboration to optimize patient access to Janssen therapies.

The candidate will bring deep reimbursement knowledge (pharmacy/medical buy & bill), 5+ years of experience, and