National Field Reimbursement Lead

Johnson & Johnson Co.; New York (NY); Hybrid; USD 105,000 - 182,000; Full time

Benefits offered by this job

Long-term incentive program

Vacation and leave benefits

Job summary

Johnson & Johnson Innovative Medicine is hiring a National Field Reimbursement Manager to lead education, support, and issue resolution for patient access to Janssen therapies. This field-based role spends up to 50% on-site with corporate accounts, healthcare providers, and staff to assess educational needs and facilitate access.

The ideal candidate has 5+ years in account management or reimbursement, deep knowledge of payer processes, and outstanding communication.

Qualifications

• Bachelor's degree (preferably in healthcare or business/public administration). An advanced business degree (MBA), or public health (MPH) is preferred.
• Minimum of 5 years of relevant professional experience.
• Account Management and/or Reimbursement experience 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 identifies solutions in a timely and efficient manner.
• Superior communication skills (written and verbal).
• Experience in working with patient support HUB services.
• Valid US driver's license and travel up to 50%.

Responsibilities

• Gain a deep understanding of corporate access and reimbursement processes, objectives, and challenges and then translating this knowledge into developing strategic plans.
• Educate stakeholders 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 key account managers and field reimbursement managers across the nation and serve as access, fulfillment, and reimbursement expert for account.
• 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 account engagement logistics, routing, and 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

Communication skills

Critical thinking

Data analysis

Relationship building

Travel up to 50%

Account management

Education

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

Tools

Salesforce CRM

Microsoft Word

Excel

Job description

Johnson & Johnson Innovative Medicine is hiring a National Field Reimbursement Manager to lead education, support, and issue resolution for patient access to Janssen therapies. This field-based role spends up to 50% on-site with corporate accounts, healthcare providers, and staff to assess educational needs and facilitate access.

The ideal candidate has 5+ years in account management or reimbursement, deep knowledge of payer processes, and outstanding communication.