Field Reimbursement Manager (Immunology Dermatology)– Milwaukee, North – Johnson & Johnson HCS, Inc. at Johnson & Johnson

At Johnson & Johnsonwe believe health is everything. Our strength in healthcare innovation empowers us to build aworld where complex diseases are prevented treated and curedwhere treatments are smarter and less invasive andsolutions are 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 more at Job Function: Market AccessJob Sub Function: ReimbursementJob Category:People LeaderAll Job Posting Locations:Appleton Wisconsin United States Duluth Minnesota United States Green Bay Wisconsin United States Milwaukee Wisconsin United StatesJob Description:Field Reimbursement Manager (Immunology Dermatology) Milwaukee North Johnson & Johnson HCS Inc.About Innovative MedicineOur 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.Learn more at & Johnson Innovative Medicines 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 Milwaukee Green Bay Appleton Oshkosh WI and Duluth MN 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.Job Description:An important aspect of patients 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 LifeEvery 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 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 EngagementBuild 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 benefits including buy & bill and/or assignment of benefit (AOB) across multiple sites of careRemains 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 staffQUALIFICATIONS: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 experienceAccount Management and/or Reimbursement experience working in the hospital and/or provider office setting building strong customer relationship.Demonstrated expertise with both pharmacy and medical/buy & bill benefits (as applicable) 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.Experience in working with patient support HUB services.Valid US drivers license and a driving record in compliance with company standardsAbility to consistently maintain up to 50% travel.Permanent residence in the listed territoryPREFERREDImmunology disease state experienceAdvanced degree and/or relevant certifications in prior authorization and/or billing and codingStrong 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 productsExcellent 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#FRM2025#LI-RemoteThe expected base pay range for this position is $100000 to $ position is eligible for a company car through the Companys FLEET program.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 Companys consolidated retirement plan (pension) and savings plan (401(k)).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 yearSick time - 40 hours per calendar year; for employees who reside in the State of Washington 56 hours per calendar yearHoliday pay including Floating Holidays 13 days per calendar yearWork Personal and Family Time - up to 40 hours per calendar yearParental Leave 480 hours within one year of the birth/adoption/foster care of a childCondolence Leave 30 days for an immediate family member: 5 days for an extended family memberCaregiver Leave 10 daysVolunteer Leave 4 daysMilitary Spouse Time-Off 80 hoursAdditional information can be found through the link below.For additional general information on Company benefits please go to: - & 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 please contact us via or contact AskGS to be directed to your accommodation resource.Required Skills:Preferred Skills: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 ManagementThe anticipated base pay range for this position is :00Additional Description for Pay Transparency:Required Experience:Manager Key Skills Business Development,Company Policies,Customer Service,Financial Performance,Revenue Growth,Oversight,Regional Sales,Account Management,Project Management,Product Line,Ensure Compliance,Human Resources,Procedures,Sales Goals,Direct Reports Employment Type : Full-Time Experience: years Vacancy: 1 Monthly Salary Salary: 100000 - 175000