Field Reimbursement Leader – Access & Patient Support

Johnson & Johnson Co.

United States

Remote

USD 105,000 - 182,000

Full time

10 days ago

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Benefits offered by this job

Long-term incentive program
Comprehensive benefits including paid/
Vacation and leave benefits

Job summary

Johnson & Johnson Innovative Medicine’s PECS team is seeking a Field Reimbursement Manager for the Los Angeles, CA territory, including Los Angeles, Pasadena, Anaheim, and Long Beach. The FRM will educate healthcare providers on reimbursement, address access barriers, and collaborate with field teams to optimize patient access to Janssen therapies.

This role requires up to 75% travel, on-site presence, and strong experience in pharmacy and medical benefit design, coding, and prior authorization

Qualifications

  • Bachelor’s degree in healthcare or business/public administration.
  • Minimum of 5 years of relevant professional experience.
  • Reimbursement or managed care experience; revenue cycle, buy-and-bill, prior authorizations; coding and appeals processes.

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.
  • Use data and account management to address access barriers.
  • Address critical access and affordability issues for patients with urgency and accountability.
  • Partner with managed care colleagues to understand current policies and changes.
  • Conduct field-based reimbursement and access support aligned to FRM Rules of Engagement.
  • Build trust-based relationships with customers in assigned accounts.
  • Manage territory logistics, routing, and account planning.

Skills

Account Management
Reimbursement
Analytical Thinking
Cross-functional Collaboration
Communication Skills
Problem Solving
HUB Services

Education

Bachelor’s degree
MBA or MPH preferred

Job description

Johnson & Johnson Innovative Medicine’s PECS team is seeking a Field Reimbursement Manager for the Los Angeles, CA territory, including Los Angeles, Pasadena, Anaheim, and Long Beach. The FRM will educate healthcare providers on reimbursement, address access barriers, and collaborate with field teams to optimize patient access to Janssen therapies.

This role requires up to 75% travel, on-site presence, and strong experience in pharmacy and medical benefit design, coding, and prior authorization

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