Field Reimbursement Manager, Concord NC - Dermatology

The Field Reimbursement Manager will serve as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs) and their office staff, with respect to patient access to J&J Immunology therapies. This role involves investing time (up to 50%) on-site with HCPs, assessing their education needs and facilitating collaboration with various stakeholders.

What You Will Do

Primary responsibilities include educating 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.

Why It Might Be a Fit

The ideal candidate will have a strong understanding of medication access channels, including pharmacy and medical benefits, and will be able to establish relationships, collaborate, and influence across a matrix organization.

Requirements

• 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, 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

Benefits

• Dental insurance
• Vision insurance
• Health insurance
• 401(k) or other retirement plan
• Paid time off
• Stock options
• Equity
• Flexible work arrangements
• Professional development opportunities