Field Reimbursement Leader – Patient Access & Education

Johnson & Johnson MedTech; Indianapolis (IN); On-site; USD 90,000 - 120,000; Full time

Job summary

Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is recruiting a Field Reimbursement Manager for the Indianapolis, IN territory, including surrounding cities. This role focuses on education, assistance, and issue resolution with healthcare providers to improve patient access to Janssen therapies.

You will spend up to 50% on-site with HCPs, assessing education needs and coordinating with internal stakeholders to resolve barriers to treatment initiation

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, 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 identify solutions in a timely and efficient manner.
• Superior communication skills (written and verbal) and efficient follow-through.

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

Cross-Functional Collaboration

Developing Others

Fact-Based Decision Making

Relationship Building

Strategic Thinking

Leadership

Market Access Reimbursement

Competitive Landscape Analysis

Education

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

Job description

Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is recruiting a Field Reimbursement Manager for the Indianapolis, IN territory, including surrounding cities. This role focuses on education, assistance, and issue resolution with healthcare providers to improve patient access to Janssen therapies.

You will spend up to 50% on-site with HCPs, assessing education needs and coordinating with internal stakeholders to resolve barriers to treatment initiation