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Johnson & Johnson

Makes prescription drugs and medical devices

Field Reimbursement Manager - Neuroscience, Patient Engagement & Customer Solutions

Account ManagementUpdated on Nov 13
Full-timeNew York, NY, USA$105k - $181.7k

About the Job

Requirements

  • A bachelor's degree is required; healthcare or business/public administration is preferred.
  • A minimum of 5 years of relevant professional experience is required.
  • Account management and/or reimbursement experience working in a provider-office setting and building customer relationships is required.
  • Expertise in pharmacy and medical/buy-and-bill benefit design, coding, billing, prior authorizations, office operations, and appeals processes is required.
  • Reimbursement or relevant managed-care experience, including revenue cycle, buy-and-bill, prior authorization, coding, and appeals processes, is required.
  • Ability to establish relationships, collaborate, and influence across a matrix organization is required.
  • Problem-solving ability to navigate challenging access scenarios and identify solutions in a timely and efficient manner is required.
  • Superior written and verbal communication skills and efficient follow-through are required.
  • Experience working with patient support hub services is required.
  • A valid U.S. driver's license and a driving record that complies with company standards are required.
  • Permanent residence in the listed territory is required.
  • Extensive knowledge of medication access channels, including pharmacy and medical benefits, buy-and-bill, and/or assignment of benefit, is required.
  • Ability to analyze complex quantitative and qualitative data to accelerate access is required.
  • Ability to remain current on product coverage, access knowledge, marketplace conditions, and stakeholder practices to deliver approved materials is required.
  • Ability to understand and adapt to the changing healthcare ecosystem and customize resourcing and messaging for healthcare providers and staff is required.

Responsibilities

  • Educate healthcare providers on reimbursement processes, claims submissions, procedures, and payer organization coding requirements, including local and government payers.
  • Collaborate with field support team members, including sales representatives and key account managers, and serve as the local team's access, fulfillment, and reimbursement expert.
  • Lead compliant access and fulfillment discussions with field support team members.
  • Use data and account management skills to proactively address access barriers.
  • Address critical patient access and affordability issues with urgency and accountability.
  • Partner with managed-care colleagues to understand current policies and potential future changes.
  • Provide field-based reimbursement and access support, education, and problem-solving in accordance with the Field Reimbursement Manager Rules of Engagement.
  • Build trust-based relationships with customers in 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 knowledge of hub and specialty distribution channels to improve practice and patient support.
  • Collaborate with internal departments, including marketing, sales, medical science, SCG, IBG, HCC, and PECS; serve as a subject matter expert on access and affordability solutions across payer types and plans, including Medicare, Medicaid managed care, and commercial plans.
  • Conduct business in accordance with ethical, legal, and compliance standards, including completing required training on time.

Desired Qualifications

  • An advanced business degree (MBA) or a public health degree (MPH) is preferred.
  • Neuroscience disease-state experience is preferred.
  • An advanced degree and/or relevant certifications in prior authorization and/or billing and coding are preferred.
  • Strong market-access acumen regarding payer approval processes and business acumen are preferred.
  • Understanding of Medicare, Medicaid, and private-payer initiatives affecting reimbursement of pharmaceutical and biotechnology products is preferred.
  • Technical expertise in payer policy, including coding, coverage, and payment elements of reimbursement, is preferred.
  • Competence using Salesforce.com CRM, Microsoft Word, and Microsoft Excel is preferred.
  • Commitment to learning emerging technologies such as artificial intelligence through exploration, iteration, and applying new tools over time is preferred.

About the Company

Johnson & Johnson

Makes prescription drugs and medical devices

Johnson & Johnson develops prescription medicines and makes medical devices for hospitals, and unlike most big drugmakers, it runs both businesses under one roof. In 2015, its Darzalex became the first antibody drug approved for multiple myeloma, a blood cancer. Its medicines treat cancer, immune diseases such as psoriasis, and mental illnesses such as depression, and patented drugs bring in most of its sales. Its MedTech unit makes heart pumps, catheters that treat irregular heartbeats, surgical sutures, and Acuvue contact lenses. It was founded in 1886 to make sterile surgical dressings, is based in New Brunswick, New Jersey, and spun off its consumer brands, such as Tylenol and Band-Aid, as Kenvue in 2023.

Company size
10,001+
Company stage
IPO
Headquarters
New Brunswick, NJ
Founded
1886

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