Field Reimbursement Manager, Dermatology – Patient Engagement, Customer Solution

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

📋 Description

• Act as the key field-based representative for education, support, and problem resolution regarding patient access to J&J Immunology therapies.

• Provide healthcare providers and their office staff with comprehensive education on product coverage, prior authorizations, appeals, reimbursement procedures, claims submissions, and payer coding requirements.

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

• Address critical issues related to patient access and affordability with a sense of urgency.

• Deliver field-based reimbursement and access support, education, and innovative problem-solving strategies.

• Establish trust-based relationships with customers across designated Immunology accounts.

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

• Keep abreast of national, regional, local, and account market dynamics, including coverage and coding requirements.

• Enhance understanding of hub and specialty distribution channels to optimize practice and patient support.

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

• Stay informed about product coverage, access knowledge, market conditions, and stakeholder practices.

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

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

⛳️ Requirements

• Bachelor’s degree, preferably in healthcare or business/public administration.

• At least 5 years of relevant professional experience.

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

• Proficient in pharmacy and medical/buy & bill benefits, coding, and billing.

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

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

• Skilled in problem-solving to navigate difficult access situations and find timely, effective solutions.

• Background in working with patient support HUB services.

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

• Willingness to maintain up to 50% travel consistently.

• Permanent residence within the specified territory.

• Preferred experience in immunology disease states.

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

• Understanding of Medicare, Medicaid, and private payer initiatives affecting pharmaceutical and biotechnology reimbursement is preferred.

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

• Commitment to learning about emerging technologies, such as AI, is preferred.

🏝️ Benefits

• Consolidated retirement plan (pension).

• Savings plan (401(k)).

• Long-term incentive program.

• Vacation – 120 hours per calendar year.

• Sick time – 40 hours per calendar year; 48 hours for Colorado employees; 56 hours for Washington employees.

• 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.