Field Reimbursement Manager - Immunology, Dermatology

Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, etc.) for core and launch products. Collaborate with field support team members such as sales representatives and key account managers and serve as reimbursement expert for the local team. Act with a sense of urgency to address critical access and affordability issues for patients. 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 all assigned Immunology accounts. Manage territory logistics, routing, and account business planning. Maintain and grow knowledge of national, regional, local, and account market dynamics including coverage and coding requirements. Grow the knowledge of hub and specialty distribution channels to improve practice and patient support needs. Collaborate with internal J&J departments such as marketing, sales, medical science, SCG, IBG, HCC, and PECS. Serve as subject matter expert regarding education and insights on access and affordability solutions across multiple payer types and plans (i.e., Medicare, Medicaid Managed Care, Commercial). Execute business in accordance with the highest ethical, legal, and compliance standards, including timely and successful completion of all required training. Requirements Bachelor’s degree (preferably in healthcare or business/public administration). An advanced business degree (MBA), or public health (MPH) is preferred. Minimum of 5 years of relevant professional experience Account Management and/or Reimbursement experience working in the hospital and/or provider office setting, building strong customer relationship. Demonstrated expertise with both pharmacy and medical/buy & bill benefits (as applicable), coding, and billing. Reimbursement or relevant managed care experience (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 identifies solutions in a timely and efficient manner. Experience in 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 Core Competencies Demonstrates expertise in reimbursement processes, coding requirements, and access solutions across various payer types. Proven ability to build strong relationships with healthcare professionals and collaborate effectively within a matrix organization. Highest-signal resume keywords Reimbursement Experience Account Management Coding and Billing Expertise Relationship Building Problem-Solving Ability ATS Optimization Keywords Hard Skills Prior Authorization Claims Submission Coding Requirements Revenue Cycle Management Buy-and-Bill Benefits Pharmacy Benefits Patient Support HUB Services Market Dynamics Knowledge Business Planning Healthcare Education Soft Skills Collaboration Influencing Skills Creative Problem-Solving Trust-Building Sense of Urgency Certifications & Qualifications Bachelor’s Degree MBA MPH Industry Keywords Managed Care Payer Organizations Immunology Accounts Healthcare Compliance Ethical Standards #J-18808-Ljbffr Jobtailor