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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, while effectively building relationships with healthcare providers and managing territory logistics. Proficient in navigating complex healthcare environments and collaborating across various stakeholders to address patient access challenges.
Highest-signal resume keywords
Patient Access ExpertiseReimbursement ExperienceAccount ManagementHealthcare Provider EducationSalesforce.com CRM Proficiency
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 ManagementBuy-and-Bill BenefitsClaims SubmissionPayer Coding RequirementsMarket Dynamics KnowledgeHub Services ExperienceImmunology Disease State Knowledge
Soft Skills
Relationship BuildingCollaborationProblem-SolvingInfluencing Skills
Tools & Technologies
Salesforce.com CRMMicrosoft WordMicrosoft Excel
Certifications & Qualifications
Advanced Degree in Healthcare or Business/Public AdministrationRelevant Certifications in Prior Authorization and/or Billing and Coding
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 their education needs
- Educate healthcare providers on 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 internal J&J departments
- Address critical patient access and affordability issues
- Provide 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
- Serve as subject matter expert on access and affordability solutions across Medicare, Medicaid Managed Care, and Commercial plans
- Complete business activities in accordance with ethical, legal, compliance, and training standards
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 working in a hospital and/or provider office setting
- 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 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 pharmaceutical and biotechnology reimbursement
- Salesforce.com CRM, Microsoft Word, and Excel proficiency preferred
- Commitment to learning emerging technologies such as AI
Benefits
Comp & perks- Inclusive work environment
- Equal opportunity employment
- Interview process accommodations for applicants with disabilities