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Field Reimbursement Manager, Dermatology – Patient Engagement & Customer Solution
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 authorizations, coding, and appeals. Builds strong relationships with healthcare providers while navigating complex reimbursement landscapes and collaborating across teams.
Highest-signal resume keywords
Patient Access ExpertiseReimbursement ExperienceAccount ManagementProblem-Solving AbilityCollaboration Across Matrix Organization
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 BenefitsPharmacy BenefitsMedical BenefitsPatient Support HUB ServicesImmunology Disease State KnowledgeMarket Dynamics Knowledge
Soft Skills
Relationship BuildingInfluencing SkillsCreative Problem-Solving
Tools & Technologies
Salesforce.com CRMMicrosoft WordMicrosoft Excel
Certifications & Qualifications
Relevant Certifications in Prior AuthorizationBilling and Coding Certifications
Industry Keywords
Healthcare ProvidersManaged CarePayer Coding RequirementsMedicareMedicaidPharmaceutical ReimbursementBiotechnology ReimbursementCompliance StandardsEthical StandardsStakeholder Collaboration
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
- Invest up to 50% of time onsite with healthcare providers, assess education needs, and facilitate stakeholder collaboration
- Educate HCPs 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 local reimbursement expert
- Address critical patient access and affordability issues
- Partner with managed care colleagues on current policies and potential 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
- Develop knowledge of hub and specialty distribution channels
- Collaborate with internal J&J departments and provide subject matter expertise on access and affordability solutions across 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 working in the 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 and identify 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
- Preferred: 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
- Preferred: Technical knowledge of payer policy and reimbursement
- Preferred: Salesforce.com CRM, Microsoft Word, and Excel
- Preferred: Emerging technology and AI exploration experience
Benefits
Comp & perks- Inclusive work environment
- Equal Opportunity Employer
- Applicant interview accommodations for individuals with disabilities