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.

• Work in collaboration with sales representatives, key account managers, managed care colleagues, and other internal Johnson & Johnson departments.

• Act as the reimbursement authority for the local team and a subject matter expert on access and affordability solutions.

• Respond promptly to critical patient access and affordability challenges.

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

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

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

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

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

• Provide education and insights across Medicare, Medicaid Managed Care, Commercial, pharmacy, and medical benefit environments.

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

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

• Conduct business in alignment with ethical, legal, and compliance standards, completing necessary training.

⛳️ Requirements

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

• A minimum of 5 years of relevant professional experience is essential.

• Experience in account management and/or reimbursement within hospital and/or provider office settings.

• Proven expertise with pharmacy and medical/buy-and-bill benefits, coding, and billing.

• Experience in reimbursement or relevant 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.

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

• Experience working with patient support HUB services.

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

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

• Permanent residence in the specified territory is required.

• Experience in the immunology disease state is preferred.

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

• Strong market access and business acumen are preferred.

• Familiarity with Medicare, Medicaid, and private payer initiatives that impact pharmaceutical and biotechnology reimbursement.

• Technical knowledge of payer policy and reimbursement components is preferred.

• Proficient with Salesforce.com CRM, Microsoft Word, and Excel.

• Must perform work in accordance with applicable ethical, legal, and compliance standards.

🏝️ 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.

• Volunteer Leave – 32 hours per calendar year.

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

• Inclusive interview process and reasonable accommodation support.