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About the Role

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, regarding patient access to J&J Immunology therapies. This role involves significant on-site engagement with HCPs to assess education needs and facilitate collaboration.

Responsibilities

• Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations for core and launch products.
• Collaborate with field support team members and serve as reimbursement expert for the local team.
• Address critical access and affordability issues for patients with urgency.
• Partner with managed care colleagues to understand current and future policies.
• Conduct field-based reimbursement and access support, education, and creative problem-solving.
• 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 J&J departments and serve as a subject matter expert on access and affordability solutions across multiple payer types and plans.
• Execute business in accordance with the highest ethical, legal, and compliance standards.
• Maintain extensive knowledge of medication access channels across multiple sites of care.
• Remain current on and anticipate changes in product coverage, access, marketplace conditions, and stakeholder practices.
• Understand and adapt to the changing healthcare ecosystem to customize resourcing and messaging to HCPs and HCP staff.

Requirements

• Bachelor’s degree (preferably in healthcare or business/public administration).
• Minimum of 5 years of relevant professional experience.
• Account Management and/or Reimbursement experience working in the provider office setting.
• 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 identify solutions.
• Superior communication skills (written and verbal) and efficient follow-through.
• Experience in working with patient support HUB services.
• Valid US driver’s license and a driving record in compliance with company standards.
• Ability to consistently maintain up to 50% travel.
• Permanent residence in the listed territory.

Skills

• Market Access Reimbursement
• Account Management
• Coaching
• Competitive Landscape Analysis
• Compliance Management
• Consulting
• Cross-Functional Collaboration
• Escalation Management
• Fact-Based Decision Making
• Finance and Accounting Platforms
• Financial Reports
• Market Opportunity Assessment
• Performance Measurement
• Pricing Strategies
• Process Improvements
• Strategic Thinking
• Technical Credibility
• Salesforce.com CRM use
• Microsoft Word
• Microsoft Excel

Location

• New York, New York, United States

Work Type

• Field-based
• Full-time

Experience Level

• Minimum of 5 years of relevant professional experience

Education Level

• Bachelor's degree
• MBA (preferred)
• MPH (preferred)

Salary/Compensations

• $102,000.00 - $177,100.00

Benefits

• Consolidated retirement plan (pension)
• Savings plan (401(k))
• Vacation –120 hours per calendar year
• Sick time - 40 hours per calendar year (varies by state)
• Holiday pay, including Floating Holidays –13 days per calendar year
• Work, Personal and Family Time - up to 40 hours per calendar year
• Parental Leave – 480 hours within one year of the birth/adoption/foster care of a child
• Bereavement Leave – 240 hours for an immediate family member; 40 hours for an extended family member per calendar year
• Caregiver Leave – 80 hours in a 52-week rolling period
• Volunteer Leave – 32 hours per calendar year
• Military Spouse Time-Off – 80 hours per calendar year

About the Company

• Johnson & Johnson's strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured.
• Our expertise in Innovative Medicine is informed and inspired by patients, whose insights fuel our science-based advancements.
• Visionaries like you work on teams that save lives by developing the medicines of tomorrow.
• Join us in developing treatments, finding cures, and pioneering the path from lab to life while championing patients every step of the way.

Equal Opportunity

• Johnson & Johnson is an 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, disability, protected veteran status or other characteristics protected by federal, state or local law.
• We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act.
• Johnson and Johnson is committed to providing an interview process that is inclusive of our applicants’ needs. If you are an individual with a disability and would like to request an accommodation, please email the Employee Health Support Center (ra-employeehealthsup@its.jnj.com) or contact AskGS to be directed to your accommodation resource.