Field Reimbursement Manager – GI

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 .

Posted 10/23/2026full-timeRemote • California • United StatesMid-LevelSenior💰 $102,000 - $177,100 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in reimbursement processes, coding, and billing within the healthcare sector, while effectively building relationships with healthcare providers and managing territory logistics. Proficient in navigating complex access scenarios and collaborating across various departments to enhance patient support and education.

Highest-signal resume keywords

Reimbursement ExperienceAccount ManagementCoding and Billing ExpertiseHealthcare Provider CollaborationPatient Support HUB Services

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Reimbursement ProcessesCodingBillingPrior AuthorizationClaims SubmissionPharmacy BenefitsMedical BenefitsRevenue Cycle ManagementAccess SolutionsMarket Dynamics Knowledge

Soft Skills

Relationship BuildingProblem-SolvingCollaborationCommunicationInfluencing

Tools & Technologies

Salesforce.com CRMMicrosoft WordMicrosoft Excel

Certifications & Qualifications

Advanced Degree (MBA or MPH)Relevant Certifications in Prior AuthorizationBilling and Coding Certifications

Industry Keywords

ImmunologyMedicareMedicaidManaged CarePayer Coding RequirementsPatient AccessHealthcare EcosystemEthical StandardsCompliance StandardsHub Services

Tech Stack

Tools & technologies

SFDC

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 on-site with healthcare providers, assess education needs, and facilitate stakeholder collaboration
Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and payer coding requirements
Collaborate with sales representatives and key account managers and serve as the local reimbursement expert
Address critical access and affordability issues for patients with urgency
Partner with managed care colleagues to understand current policies and potential future changes
Conduct field-based reimbursement and access support, education, and creative problem-solving aligned to FRM Rules of Engagement
Build strong, trust-based relationships with customers in assigned Immunology accounts
Manage territory logistics, routing, and account business planning
Maintain and grow knowledge of market dynamics, 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 according to ethical, legal, and compliance standards and complete required training
Remain current on product coverage, access knowledge, marketplace conditions, and stakeholder practices
Adapt to the healthcare ecosystem to customize resources and messaging for HCPs and staff

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, building strong customer relationship
Demonstrated expertise with both 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 in a timely and efficient manner
Superior written and verbal communication skills and efficient follow-through
Experience working with patient support HUB services
Valid US driver’s license and a driving record in compliance with company standards
Ability to consistently maintain up to 50% travel
Permanent residence in the listed territory
Advanced business degree (MBA) or public health degree (MPH) 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 reimbursement of pharmaceutical and biotechnology products preferred
Salesforce.com CRM, Microsoft Word, and Excel experience preferred
Commitment to learning emerging technologies such as AI preferred

Benefits

Comp & perks

Consolidated retirement plan (pension)
Savings plan (401(k))
Long-term incentive program
Vacation –120 hours per calendar year
Sick time - 40 hours per calendar year; for employees who reside in the State of Colorado –48 hours per calendar year; for employees who reside in the State of Washington –56 hours per calendar year
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 the 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 period10 days
Volunteer Leave – 32 hours per calendar year
Military Spouse Time-Off – 80 hours per calendar year