Field Reimbursement Manager - GI
$102k - $177.1k+ Long-term incentive program
Senior
Bachelor's, Master's, MBA
Santa Ana, CA, USA+4 moreMore locations: Long Beach, CA, USA | Irvine, CA, USA | Anaheim, CA, USA | Huntington Beach, CA, USA
In Person
Customer Experience & Support
About the job
Requirements
- A bachelor's degree is required, preferably in healthcare or business/public administration.
- 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 strong customer relationships is required.
- Expertise with both pharmacy and medical/buy-and-bill benefits, coding, and billing 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 in compliance with company standards are required.
- Ability to consistently maintain up to 50% travel is required.
- Permanent residence in the listed territory is required.
- Immunology disease state experience is preferred.
- An advanced business degree (MBA) or public health (MPH) degree is preferred.
- Relevant certifications in prior authorization and/or billing and coding are preferred.
- Strong market access acumen related to payer approval processes and business acumen is preferred.
- Understanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement of pharmaceutical and biotechnology products is preferred.
- Excellent technical knowledge and expertise in payer policy, including coding, coverage, and payment elements of reimbursement, is preferred.
- Demonstrated competence using Salesforce CRM, Microsoft Word, and Excel is preferred.
- Demonstrated commitment to learning emerging technologies such as artificial intelligence through exploration, iteration, and applying new tools over time is preferred.
Responsibilities
- Educate healthcare providers on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and payer organization coding requirements for core and launch products.
- Collaborate with field support team members, including sales representatives and key account managers, and serve as the reimbursement expert for the local team.
- Address critical patient access and affordability issues with a sense of urgency.
- 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 with Field Reimbursement Manager Rules of Engagement.
- Build strong, trust-based relationships with customers in assigned Immunology 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 needs.
- Collaborate with internal departments, including marketing, sales, medical science, SCG, IBG, HCC, and PECS.
- Serve as a subject matter expert on education and insights regarding 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 timely completion of required training.
- Remain current on and anticipate changes in product coverage, access knowledge, marketplace conditions, and stakeholder practices to deliver effective approved materials.
- Understand and adapt to the changing healthcare ecosystem to customize resourcing and messaging to healthcare providers and their staff.
About the company
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, New Jersey
Founded
1886
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Simplify's Take
What believers are saying
- Cancer drugs drive growth: oncology sales rose 17% to $7.4 billion in the June 2026 quarter, 29% of the total.
- Stock grants have gained value: J&J shares rose 58% in the year to September 2026, versus 23% for Pfizer.
- Students have a way in: J&J listed 1,897 open jobs in October 2026, including 201 internships, co-ops and early-career roles.
What critics are saying
- Its key immune drug trails: AbbVie's Skyrizi outsold Tremfya $5.5 billion to $2.0 billion in the June 2026 quarter.
- Orthopedics is leaving J&J: in September 2026, it was negotiating a $20 billion sale to buyout firm Apollo.
- Baby powder suits remain costly: in July 2026, J&J agreed to pay $5.5 billion to end about 76,000 cancer claims.
What makes Johnson & Johnson unique
- Its debt is rated safer than America's: S&P's top AAA rating goes to only two US companies, J&J and Microsoft.
- Employees rank above shareholders: J&J's 1943 Credo lists duties to patients, then staff and communities, with stockholders last.
- Its psoriasis pill is a first: Icotyde, approved March 2026, blocks an immune signal rivals target only by injection.
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Benefits
- Health Insurance
- Dental Insurance
- Vision Insurance
- Life Insurance
- Disability Insurance
- 401(k) Retirement Plan
- 401(k) Company Match
- Paid Vacation
- Paid Sick Leave
- Paid Holidays
- Remote Work Options
- Performance Bonus