Field Reimbursement Manager (Immunology Rheumatology) (DENVER SOUTH) Johnson & Johnson HCS, Inc.

Field Reimbursement Manager

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.

Johnson & Johnson Innovative Medicine's Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will include the Colorado Springs, Pueblo, Denver, Littleton and Albuquerque, NM 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.

An important aspect of patient's 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 of this role involves :

• Educating 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.
• Collaborating with field support team members such as sales representatives and key account managers and serving as reimbursement expert for the local team.
• Acting with a sense of urgency to address critical access and affordability issues for patients.
• Partnering with managed care colleagues to understand current policies and potential future changes.
• Conducting field-based reimbursement and access support, education and creative problem-solving aligned to FRM Rules of Engagement.
• Building strong, trust-based relationships with customers in all assigned Immunology accounts.
• Managing territory logistics, routing, and account business planning.
• Maintaining and growing knowledge of national, regional, local, and account market dynamics including coverage and coding requirements.
• Growing the knowledge of hub and specialty distribution channels to improve practice and patient support needs.
• Collaborating with internal J&J departments such as marketing, sales, medical science, SCG, IBG, HCC, and PECS. Serving 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).
• Executing business in accordance with the highest ethical, legal, and compliance standards, including timely and successful completion of all required training.

Market Access Expertise :

Qualifications : Required :

Preferred :

The anticipated base pay range for this position is : $100,000-175,000.

Additional Description for Pay Transparency : Subject to the terms of their respective plans, employees and / or eligible dependents are 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. Subject to the terms of their respective plans, employees are eligible to participate in the Company's consolidated retirement plan (pension) and savings plan (401(k)). This position is eligible to participate in the Company's long-term incentive program. Subject to the terms of their respective policies and date of hire, Employees are eligible for the following time off benefits : Vacation 120 hours per calendar year Sick time - 40 hours per calendar year; for employees who reside in the State of Washington 56 hours per calendar year 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 Condolence Leave 30 days for an immediate family member : 5 days for an extended family member Caregiver Leave 10 days Volunteer Leave 4 days Military Spouse Time-Off 80 hours Additional information can be found through the link below.