Field Reimbursement Manager – Immunology, Dermatology

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

📋 Description

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

• Collaborate with sales representatives, key account managers, managed care colleagues, and other stakeholders in the field.

• Tackle critical issues related to patient access and affordability.

• Offer field-based reimbursement and access support, along with educational initiatives and innovative problem-solving.

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

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

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

• Enhance understanding of hub and specialty distribution channels to better support practices and patients.

• Work in conjunction with internal Johnson & Johnson departments including 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, Commercial, and other payer plans.

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

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

• Tailor approved materials, resources, and messaging for healthcare providers and their staff.

⛳️ Requirements

• Bachelor’s degree, ideally 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.

• Proven track record of building strong customer relationships.

• Proficiency in pharmacy and medical/buy-and-bill benefits, along with coding and billing expertise.

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

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

• Problem-solving skills to navigate challenging access scenarios and identify timely, effective solutions.

• Experience with patient support HUB services.

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

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

• Must have a permanent residence within the specified territory.

• Experience in the immunology disease state is preferred.

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

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

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

🏝️ Benefits

• Retirement plan (pension).

• Savings plan (401(k)).

• 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.

• 10 days Volunteer Leave – 32 hours per calendar year.

• Military Spouse Time-Off – 80 hours per calendar year.