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About the Role

The Field Reimbursement Manager (FRM) is a field-based lead responsible for education, support, and issue resolution related to patient access to J&J Neuroscience therapies. The role involves up to 50% on-site engagement with corporate customers, healthcare providers (HCPs), and office staff to assess educational needs and facilitate collaboration among key stakeholders.

Responsibilities

Gain a deep understanding of corporate access and reimbursement processes, objectives, and challenges and translate this knowledge into developing strategic plans.
Educate stakeholders on reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations.
Collaborate with field support team members such as key account managers and field reimbursement managers across the nation and serve as access, fulfillment, and reimbursement expert for accounts.
Lead compliant access and fulfillment discussions with field support team members.
Utilize data and account management skills to proactively address access barriers.
Act with a sense of urgency and accountability 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 accounts.
Manage account engagement logistics, routing, and 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.
Execute business in accordance with the highest ethical, legal, and compliance standards, including timely and successful completion of all required training.

Requirements

Bachelor’s 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 relationships.
Demonstrated expertise with both pharmacy and medical/buy & bill benefit design, coding, billing, prior authorizations, office operations, and appeals processes.
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 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 driver’s license and a driving record in compliance with company standards.
Ability to travel up to 50%.
Neuroscience disease state experience is preferred.
Advanced degree and/or relevant certifications in prior authorization and/or billing and coding is preferred.
Strong market access acumen as it relates 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.
Demonstrated competence with salesforce.com CRM use, Microsoft Word, and Excel is preferred.

Skills

Extensive knowledge of medication access channels (i.e., pharmacy and medical benefit including buy & bill and/or assignment of benefit (AOB)).
Critical thinking.
Ability to analyze highly complex, quantitative and qualitative data to accelerate speed to access.
Ambitious and possess a high degree of intellectual curiosity.
Excellent social, communication, facilitation and presentation skills.
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, HCP staff.
Account Management
Analytical Reasoning
Competitive Landscape Analysis
Compliance Management
Cross-Functional Collaboration
Developing Others
Fact-Based Decision Making
Inclusive Leadership
Leadership
Market Access Reimbursement
Market Opportunity Assessment
Operational Excellence
Performance Measurement
Pricing Strategies
Relationship Building
Strategic Thinking
Team Management

Location

Atlanta, Georgia, United States
Boston, Massachusetts, United States of America
Dallas, Texas, United States
New Brunswick, New Jersey, United States of America
New York (Any City)
Philadelphia, Pennsylvania, United States
Raleigh, North Carolina, United States

Work Type

Field-based
National

Experience Level

Minimum of 5 years of relevant professional experience

Education Level

Bachelor’s degree
MBA
MPH

Salary/Compensations

$102,000.00 - $177,100.00

Benefits

Eligible to participate in the Company’s long-term incentive program.
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

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, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity.
Learn more at jnj.com
As guided by Our Credo, Johnson & Johnson is responsible to our employees who work with us throughout the world. We provide an inclusive work environment where each person is considered as an individual. At Johnson & Johnson, we respect the diversity and dignity of our employees and recognize their merit.
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 Medicine’s Patient Engagement and Customer Solutions (PECS) team is recruiting for a field-based Field Reimbursement Manager to support Corporate Accounts nationally.
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.
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.

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 & 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, external applicants please contact us via https://www.jnj.com/contact-us/careers and internal employees contact AskGS to be directed to your accommodation resource.