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Johnson & Johnson

Makes prescription drugs and medical devices

Field Reimbursement Manager - Neuroscience, Patient Engagement and Customer Solutions

Solution EngineeringUpdated on Nov 9
Full-time

About the Job

Requirements

  • A bachelor's degree is required, preferably in healthcare or business/public administration.
  • A minimum of five years of relevant professional experience is required.
  • Account management and/or reimbursement experience in a provider office setting, including building customer relationships, is required.
  • Demonstrated expertise with 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.
  • The 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.
  • Permanent residence in the listed territory is required.
  • Extensive knowledge of medication access channels, including pharmacy and medical benefits such as buy-and-bill and assignment of benefit, is required.
  • The ability to analyze complex quantitative and qualitative data to accelerate access is required.
  • The role requires staying current on and anticipating changes in product coverage, access knowledge, marketplace conditions, and stakeholder practices to deliver approved materials effectively.
  • The role requires understanding and adapting to the changing healthcare ecosystem to customize resourcing and messaging to healthcare providers and their staff.

Responsibilities

  • Educate healthcare providers on reimbursement processes, claims submissions, procedures, and payer-organization coding requirements, including those of 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.
  • Conduct field-based reimbursement and access support, education, and problem-solving aligned 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, and 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 and complete all 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 concerning payer approval processes and business acumen are preferred.
  • Understanding of Medicare, Medicaid, and private payer initiatives affecting pharmaceutical and biotechnology product reimbursement is preferred.
  • Technical knowledge and expertise in payer policy, including reimbursement coding, coverage, and payment, is preferred.
  • Competence using Salesforce.com CRM, Microsoft Word, and Excel is preferred.
  • Commitment to learning emerging technologies, such as artificial intelligence, through exploration, iteration, and application of 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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