Field Reimbursement Manager Immunology GI-San Jose/Fresno - J&J Family of Companies

Description

Field Reimbursement Manager Immunology GI-San Jose/Fresno W

Description

Field Reimbursement Manager Immunology GI-San Jose/Fresno

At Johnson & Johnson Innovative Medicine (JJIM), what matters most is helping people live full and healthy lives. We focus on treating, curing, and preventing some of the most devastating and complex diseases of our time. And we pursue the most promising science, wherever it might be found.

Johnson & Johnson Innovative Medicines Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position.

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.

Job Description:

An important aspect of patient unmet need includes helping them start and stay on their medicine for the best chance at treatment success. The Patient Engagement and Customer Solutions (PECS) organization serves patients, during their treatment journey with Janssen therapies, to help overcome challenges to fulfillment, on-boarding, and adherence.

The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs), and their office staff, with respect to patient access to J&J Immunology therapies. This role involves investing time (up to 50%) on-site with HCPs, assessing their education needs and facilitating collaboration with various stakeholders.

A Day in the Life

Every patients healthcare experience is unique - shaped by personal experiences and beliefs, the presence or absence of support networks, provider and payer dynamics, and socioeconomic factors. For many patients, the decision to start or stop a treatment is overwhelming. J&J recognizes this, and wants to create an experience that is personalized, helpful, and hopeful.

Primary Responsibilities:

Primary responsibilities include the following. Other duties may be assigned.

Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, etc.) for core and launch products.

Collaborate with field support team members such as 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 creative problem-solving aligned to FRM Rules of Engagement

Build strong, trust-based relationships with customers in all 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 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

Market Access Expertise:

Extensive knowledge of medication access channels (i.e., pharmacy and medical benefit including buy & bill and/or assignment of benefit (AOB) across multiple sites of care

Remains current on and anticipates changes in product coverage and access knowledge, marketplace conditions, and stakeholder practices to deliver the most effective delivery of approved materials

Understands and adapts to the changing healthcare ecosystem to customize resourcing and messaging to HCPs and HCP staff

Qualifications

Required Qualifications:

Bachelors 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 working in the provider office setting, building strong customer relationship

Demonstrated expertise with both 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 identifies solutions in a timely and efficient manner

Superior communication skills (written and verbal) and efficient follow-through

Experience in working with patient support HUB services

Valid US drivers license and a driving record in compliance with company standards

Ability to consistently maintain up to 50% travel

Permanent residence in the listed territory

Preferred Qualifications:

Immunology disease state experience

Advanced degree and/or relevant certifications in prior authorization and/or billing and coding

Strong market access acumen as it relates to payer approval processes and business acumen

Understanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement of pharmaceutical and biotechnology products

Excellent technical knowledge and expertise in payer policy, including all elements of reimbursement (coding, coverage, and payment) is preferred

Demonstrated competence with CRM use, Microsoft Word, and Excel

The anticipated base pay range for this position is $99,000 to $170,200.

Employees and/or eligible dependents may be eligible to participate in the following Company sponsored employee benefit programs: medical, dental, vision, life insurance, short- and long-term disability, business accident insurance, and group legal insurance.

Employees may be eligible to participate in the Companys consolidated retirement plan (pension) and savings plan (401(k)).

This position is eligible to participate in the Companys long-term incentive program.

Employees are eligible for the following time off benefits:

Additional information can be found through the link below.

For additional general information on Company benefits, please go to: -

Johnson & Johnson is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

For more information on how we support the whole health of our employees throughout their wellness, career and life journey, please visit .

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Primary Location NA-US-California-Fresno

Other Locations NA-US-California-San Jose

Organization Johnson & Johnson Health Care Systems Inc

Job Function Reimbursement

Req ID: W