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Field Reimbursement Manager – Dermatology
Johnson & Johnson. Serve as the primary field-based lead for education, assistance, and issue resolution regarding patient access to J&J Immunology therapies .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient access and reimbursement processes, including prior authorization, coding, and appeals. Builds strong relationships with healthcare providers while navigating complex payer dynamics and compliance standards.
Highest-signal resume keywords
Patient Access ExpertiseReimbursement ExperienceAccount ManagementProblem-Solving AbilityImmunology Disease State Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Prior AuthorizationCodingBillingRevenue Cycle ManagementPharmacy BenefitsMedical BenefitsClaims SubmissionPayer Coding RequirementsMarket Access KnowledgeHub Services Experience
Soft Skills
Relationship BuildingCollaborationInfluencing SkillsCreative Problem-Solving
Tools & Technologies
Salesforce.com CRMMicrosoft WordMicrosoft Excel
Certifications & Qualifications
Advanced Degree in Healthcare or BusinessRelevant Certifications in Prior Authorization and Billing
Industry Keywords
MedicareMedicaidManaged CarePharmaceutical ReimbursementBiotechnology Reimbursement
Tech Stack
Tools & technologiesSFDC
About the role
Key responsibilities & impact- Serve as the primary field-based lead for education, assistance, and issue resolution regarding patient access to J&J Immunology therapies
- Invest up to 50% of time on-site with healthcare providers and assess education needs
- Educate healthcare providers on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and payer coding requirements
- Collaborate with sales representatives, key account managers, managed care colleagues, and other stakeholders
- Address critical patient access and affordability issues
- Conduct field-based reimbursement and access support, education, and creative problem-solving
- Build trust-based relationships with customers in assigned Immunology accounts
- Manage territory logistics, routing, and account business planning
- Maintain knowledge of market dynamics, coverage, and coding requirements
- Develop knowledge of hub and specialty distribution channels
- Collaborate with internal J&J departments including marketing, sales, medical science, SCG, IBG, HCC, and PECS
- Serve as subject matter expert on access and affordability solutions across Medicare, Medicaid Managed Care, Commercial, and other payer types
- Execute business according to ethical, legal, and compliance standards and complete required training
Requirements
What you’ll need- Bachelor’s degree, preferably in healthcare or business/public administration
- Minimum of 5 years of relevant professional experience
- Account Management and/or Reimbursement experience in hospital and/or provider office settings
- Demonstrated expertise with pharmacy and medical/buy & bill benefits, coding, and billing
- Reimbursement or relevant managed care experience, including revenue cycle, buy-and-bill, prior authorization, coding, and appeals processes
- Ability to establish relationships, collaborate, and influence across a matrix organization
- Problem-solving ability to navigate challenging access scenarios and identify timely, efficient solutions
- Experience working with patient support HUB services
- Valid US driver’s license and driving record compliant with company standards
- Ability to consistently maintain up to 50% travel
- Permanent residence in the listed territory
- Immunology disease state experience preferred
- Advanced degree and/or relevant certifications in prior authorization and/or billing and coding preferred
- Strong market access and business acumen preferred
- Understanding of Medicare, Medicaid, and private payer initiatives affecting pharmaceutical and biotechnology reimbursement preferred
- Technical knowledge of payer policy and reimbursement preferred
- Competence with Salesforce.com CRM, Microsoft Word, and Excel
- Commitment to learning emerging technologies such as AI
Benefits
Comp & perks- Equal Opportunity Employer
- Inclusive interview process and disability accommodation support