Field Reimbursement Manager — Patient Access Specialist

J&J Family of Companies; Wilmington (DE); Hybride; USD 110 000 - 150 000; Plein temps

Résumé du poste

Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions team seeks a Field Reimbursement Manager for a field-based role in Wilmington, Delaware. You will educate providers on coverage, prior authorizations, and reimbursement processes, and collaborate with sales and account teams to address access challenges.

Key responsibilities include partnering with managed care for policy changes, conducting field-based reimbursement support, and maintaining deep knowledge of payer

Qualifications

• Minimum of 5 years of relevant professional experience.
• Experience in hospital and/or provider office setting, building strong customer relationships.
• Demonstrated expertise with both pharmacy and medical/buy & bill benefits (as applicable), coding, and billing.
• 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.
• Experience in working with patient support HUB services.
• Valid US driver's license and a driving record in compliance with company standards.
• Ability to travel up to 50%.
• Permanent residence in the listed territory.

Responsabilités

• Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations.
• Collaborate with field support team members such as sales representatives and key account managers and serve as reimbursement expert for the local team.
• Address critical access and affordability issues for patients with urgency.
• Partner with managed care colleagues to understand current policies and changes.
• Conduct field-based reimbursement and access support, education and problem-solving aligned to FRM Rules of Engagement.
• Build strong relationships with customers in Immunology accounts.
• Manage territory logistics, routing, and account business planning.
• Maintain knowledge of market dynamics including coverage and coding requirements.
• Grow knowledge of hub and specialty distribution channels to improve patient support needs.
• Collaborate with internal J&J departments as subject matter expert on education and insights on access and affordability.

Connaissances

Account Management

Reimbursement

Payer policy

Prior authorization

Coding & billing

Relationship building

Travel readiness

Formation

Bachelor's degree in healthcare or business/public administration

MBA or MPH preferred

Outils

CRM software

Microsoft Word

Excel

Description du poste

Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions team seeks a Field Reimbursement Manager for a field-based role in Wilmington, Delaware. You will educate providers on coverage, prior authorizations, and reimbursement processes, and collaborate with sales and account teams to address access challenges.

Key responsibilities include partnering with managed care for policy changes, conducting field-based reimbursement support, and maintaining deep knowledge of payer