Field Reimbursement Manager

OverviewField Reimbursement Manager (Immunology Rheumatology) - Orange County, CA – Johnson & Johnson HCS, Inc. Join to apply for the Field Reimbursement Manager (Immunology Rheumatology) - Orange County, CA – Johnson & Johnson HCS, Inc. role at Johnson & Johnson MedTech.At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured. Learn more at https://www.jnj.comJob Function: Market AccessJob Sub Function: ReimbursementJob Category: People LeaderLocations: Ontario, California; Riverside, California; San Bernardino, California; and surrounding areas in CAAbout Innovative Medicine: Our expertise in Innovative Medicine is informed and inspired by patients. Join us in developing treatments, finding cures, and pioneering the path from lab to life while championing patients every step of the way. Learn more at https://www.jnj.com/innovative-medicineJohnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager. This field-based role will cover Riverside, San Bernardino, Pomona, Corona, and Ontario, CA territories.PECS is committed to setting the standard on Patient Experience (Px), building more personalized, seamless, and supportive experiences to help patients start and stay on treatments across the portfolio.What you will doAn important aspect of patient care is helping patients start and stay on their medicine for the best chance at treatment success. The PECS organization serves patients during their treatment journey to help overcome challenges to fulfillment, onboarding, and adherence.The Field Reimbursement Manager (FRM) is the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs) and their staff regarding patient access to J&J Immunology therapies. This role involves travel up to 50% to visit HCPs and collaborate with various stakeholders.Day in the LifeEvery patient’s healthcare experience is unique and influenced by multiple factors. J&J aims to create a personalized, helpful, and hopeful experience for patients.Primary ResponsibilitiesEducate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local and government payers) for core and launch products.Collaborate with field support team members (sales representatives and key account managers) and serve as reimbursement expert for the local team.Act with a sense of urgency 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 problem-solving aligned to FRM 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 support practice and patient needs.Collaborate with internal J&J departments (marketing, sales, medical science, SCG, IBG, HCC, and PECS). Serve as subject matter expert on education and insights on access and affordability across multiple payer types and plans (e.g., Medicare, Medicaid Managed Care, Commercial).Execute business with high ethical, legal, and compliance standards, including timely completion of required training.Market Access ExpertiseExtensive knowledge of medication access channels (pharmacy and medical benefits, including buy & bill and/or assignment of benefit across multiple sites of care).Stay current on changes in product coverage and access knowledge, marketplace conditions, and stakeholder practices to deliver effective materials.Understand and adapt to the changing healthcare ecosystem to customize resourcing and messaging to HCPs and HCP staff.QualificationsRequiredBachelor’s degree (healthcare or business/public administration). MBA or MPH preferred.Minimum of 5 years of relevant professional experience.Account Management and/or Reimbursement experience in hospital and/or provider office settings, with strong customer relationships.Demonstrated expertise with pharmacy and medical/buy & bill benefits, 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 with patient support HUB services.Valid US driver’s license and driving record compliant with company standards.Ability to travel up to 50%.Permanent residence in the listed territory.PreferredImmunology disease state experience.Advanced degree and/or certifications in prior authorization and/or billing and coding.Strong market access acumen related to payer approval processes and business acumen.Understanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement of pharmaceutical/biotech products.Excellent knowledge of payer policy (coding, coverage, payment) preferred.Experience with Salesforce.com CRM, Microsoft Word, and Excel.#FRM2025The expected base pay range is $100,000 to $175,000. This position is eligible for a company car through the Fleet program.Employees may participate in company-sponsored benefits and retirement plans as described by company policy (medical, dental, vision, life, disability, 401(k), etc.).Time off benefits include Vacation, Sick time, Holidays, Personal/Work time, Parental Leave, and various leave options as described by policy.Equal Opportunity Employer: Johnson & Johnson is an equal opportunity employer. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status, or other protected characteristics. Reasonable accommodations available on request.Seniority levelNot ApplicableEmployment typeFull-timeJob functionFinance and SalesIndustriesHospitals and Health CareFor more information or to apply, refer to Johnson & Johnson careers pages. #J-18808-Ljbffr