Field Reimbursement Manager, Dermatology

This is a fully remote position, open to applicants in New York.

📋 Description

• Act as the primary field-based leader for education, support, and resolution of issues related to patient access to J&J Immunology therapies.

• Allocate up to 50% of your time working on-site with healthcare providers to assess their educational requirements.

• Provide education to healthcare providers about product coverage, prior authorizations, appeals, reimbursement processes, claims submissions, procedures, and payer coding requirements.

• Promote collaboration among healthcare stakeholders.

• Work alongside sales representatives and key account managers as the local reimbursement expert.

• Address urgent patient access and affordability concerns promptly.

• Collaborate with managed care colleagues regarding current policies and potential future changes.

• Deliver field-based reimbursement and access support, education, and innovative problem-solving in accordance with FRM Rules of Engagement.

• Establish trust-based relationships with customers in assigned Immunology accounts.

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

• Keep abreast of market dynamics, coverage, and coding requirements.

• Gain knowledge of hub and specialty distribution channels.

• Collaborate with internal J&J departments such as marketing, sales, medical science, SCG, IBG, HCC, and PECS.

• Act as a subject matter expert on access and affordability solutions across Medicare, Medicaid Managed Care, and Commercial plans.

• Complete necessary training and conduct business in line with ethical, legal, and compliance standards.

• Anticipate changes in product coverage, access knowledge, marketplace conditions, and stakeholder practices.

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

⛳️ Requirements

• A bachelor’s degree is required, preferably in healthcare or business/public administration.

• 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, coding, and billing.

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

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

• Strong problem-solving skills to navigate complex access scenarios and provide timely, effective solutions.

• Experience with patient support HUB services.

• A valid US driver’s license and a driving record that meets company standards.

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

• Permanent residence within the specified territory.

• Preferred experience in immunology disease states.

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

• Knowledge of Medicare, Medicaid, and private payer initiatives impacting pharmaceutical and biotechnology product reimbursement.

• Familiarity with Salesforce.com CRM, Microsoft Word, and Excel is preferred.

• A commitment to learning about emerging technologies such as AI.

🏝️ Benefits

• Consolidated retirement plan (pension).

• Savings plan (401(k)).

• Eligibility for the long-term incentive program.

• Vacation – 120 hours per calendar year.

• Sick time – 40 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.

• 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.

• Inclusive interview process and disability accommodations.