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Field Reimbursement Manager – Dermatology
Johnson & Johnson. Serve as the primary field-based lead for education, assistance, and issue resolution with healthcare providers and office staff 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, while effectively collaborating with healthcare providers and internal teams to address patient access challenges. Maintains strong knowledge of market dynamics and payer requirements to support effective account management and education.
Highest-signal resume keywords
Patient Access ExpertiseReimbursement ProcessesAccount Management ExperienceCollaboration Across Matrix OrganizationsProblem-Solving Ability
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 BenefitsBuy-and-BillClaims SubmissionPayer Coding RequirementsImmunology Disease State Knowledge
Soft Skills
Relationship BuildingCollaborationInfluencing SkillsCreative Problem-Solving
Tools & Technologies
Salesforce.com CRMMicrosoft WordMicrosoft Excel
Certifications & Qualifications
Relevant Certifications in Prior AuthorizationBilling and Coding Certifications
Industry Keywords
Managed CareMedicareMedicaidCommercial PayersPatient Support HUB Services
Tech Stack
Tools & technologiesSFDC
About the role
Key responsibilities & impact- Serve as the primary field-based lead for education, assistance, and issue resolution with healthcare providers and office staff regarding patient access to J&J Immunology therapies
- Spend up to 50% of time onsite with healthcare providers, assess education needs, and facilitate stakeholder collaboration
- Educate healthcare providers on product coverage, prior authorizations, appeals, reimbursement processes, claims submissions, procedures, and payer coding requirements
- Collaborate with sales representatives and key account managers as the reimbursement expert for the local team
- Address critical patient access and affordability issues
- Partner with managed care colleagues on current and future policy changes
- 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
- Grow knowledge of hub and specialty distribution channels
- Collaborate with internal 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
- 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
- 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
- Understanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement preferred
- Salesforce.com CRM, Microsoft Word, and Excel proficiency preferred
- Commitment to learning emerging technologies, such as AI
Benefits
Comp & perks- Inclusive work environment
- Equal employment opportunity
- Applicant accommodation support during the interview process