Field Reimbursement Manager, Gastroenterology

Johnson & Johnson

. Serve as the primary field-based lead for education, assistance, and issue resolution regarding patient access to J&J Immunology therapies .

Posted 11/5/2026full-timeSan Antonio • Texas • United StatesMid-LevelSenior💰 $105,000 - $181,700 per yearWebsite

Core Competencies

Role fit

Core 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 policies and market dynamics.

Highest-signal resume keywords

Patient Access ExpertiseReimbursement ExperienceAccount ManagementHealthcare Provider EducationProblem-Solving Ability

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Prior AuthorizationCodingBillingRevenue Cycle ManagementPharmacy BenefitsMedical BenefitsBuy-and-BillClaims SubmissionPayer Coding RequirementsMarket Access Knowledge

Soft Skills

Relationship BuildingCollaborationInfluencing SkillsCommunication SkillsProblem-Solving

Tools & Technologies

Salesforce.com CRMMicrosoft WordMicrosoft ExcelPatient Support HUB Services

Certifications & Qualifications

Relevant Certifications in Prior AuthorizationBilling and Coding Certifications

Industry Keywords

ImmunologyMedicareMedicaidManaged CarePharmaceutical ReimbursementBiotechnology ReimbursementHealthcare EcosystemCompliance StandardsStakeholder CollaborationEthical Standards

Tech Stack

Tools & technologies

SFDC

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
Educate healthcare providers and office staff on product coverage, prior authorizations, appeals, reimbursement processes, claims submissions, procedures, and payer coding requirements
Invest up to 50% of time onsite with healthcare providers, assess education needs, and facilitate stakeholder collaboration
Collaborate with sales representatives and key account managers as the local reimbursement expert
Address critical patient access and affordability issues with urgency
Partner with managed care colleagues on current policies and potential future changes
Conduct field-based reimbursement and access support, education, and creative problem-solving under FRM Rules of Engagement
Build trust-based relationships with customers in assigned Immunology accounts
Manage territory logistics, routing, and account business planning
Maintain knowledge of national, regional, local, and account market dynamics, including coverage and coding requirements
Grow knowledge of hub and specialty distribution channels to improve practice and patient support
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 in accordance with ethical, legal, and compliance standards and complete required training
Monitor and anticipate product coverage, access, marketplace, and stakeholder-practice changes
Customize resources and messaging for healthcare providers and staff as the healthcare ecosystem changes

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 provider office setting
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 solutions
Superior written and verbal communication skills and efficient follow-through
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, including coding, coverage, and payment preferred
Salesforce.com CRM, Microsoft Word, and Excel proficiency preferred
Commitment to learning emerging technologies such as AI

Benefits

Comp & perks

Company long-term incentive program eligibility
Vacation – 120 hours per calendar year
Sick time – 40 hours per calendar year; Colorado employees – 48 hours; Washington employees – 56 hours
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 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
Reasonable accommodation during the interview process