Field Reimbursement Manager – Dermatology

This is a fully remote position, open to applicants in New Jersey, +1 more state.

📋 Description

• Act as the primary field-based leader for education, support, and problem resolution with healthcare providers and their office staff concerning patient access to J&J Immunology therapies.

• Allocate up to 50% of time on-site with healthcare professionals (HCPs), evaluate educational needs, and promote collaboration among stakeholders.

• Inform HCPs about product coverage, prior authorizations, appeals, reimbursement procedures, claims submissions, and payer coding requirements.

• Partner with sales representatives, key account managers, managed care colleagues, and internal J&J departments.

• Tackle critical issues related to patient access and affordability.

• Deliver field-based reimbursement and access support, education, and innovative solutions.

• Cultivate trust-based relationships with customers within assigned Immunology accounts.

• Oversee territory logistics, routing, and strategic account planning.

• Stay informed about market dynamics, coverage, and coding requirements.

• Gain knowledge of hub and specialty distribution channels.

• Serve as a subject matter expert regarding access and affordability solutions across Medicare, Medicaid Managed Care, and Commercial payer types.

• Conduct business in accordance with ethical, legal, and compliance standards and fulfill necessary training requirements.

• Anticipate shifts in product coverage, access, market conditions, and stakeholder practices.

• Modify resources and messaging for healthcare providers and their staff.

⛳️ Requirements

• Bachelor’s degree in healthcare or business/public administration is preferred.

• At least 5 years of relevant professional experience.

• Experience in Account Management and/or Reimbursement within hospital and/or provider office environments.

• Proficiency in pharmacy and medical/buy & bill benefits, as well as coding and billing.

• Background in reimbursement or related managed care, including revenue cycle, buy-and-bill, prior authorization, coding, and appeals processes.

• Capability to build relationships, collaborate, and influence within a matrix organization.

• Problem-solving skills to navigate complex access scenarios and devise timely solutions.

• Familiarity with patient support HUB services.

• Valid US driver’s license with a driving record that meets company standards.

• Willingness to travel up to 50% of the time.

• Permanent residence within the designated territory.

• Experience with immunology disease states is preferred.

• An advanced degree and/or relevant certifications in prior authorization and/or billing and coding is preferred.

• Understanding of Medicare, Medicaid, and private payer initiatives impacting reimbursement is preferred.

• Proficiency in Salesforce.com CRM, Microsoft Word, and Excel is preferred.

• Commitment to adopting emerging technologies such as AI.

🏝️ Benefits

• Inclusive work environment.

• Equal opportunity employment.

• Accommodations during the interview process for applicants with disabilities.