Field Reimbursement Manager Dermatology - Minneapolis West – Johnson & Johnson HCS, Inc.Johnson & Johnson Innovative Medicine's Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position.PECS is committed to setting the standard on Patient Experience (Px), building more personalized, seamless, and supportive experiences to help patients start and stay on treatments across the portfolio.At Johnson & Johnson, we believe health is everything.
Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal.Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity.An important aspect of patient unmet need includes helping them start and stay on their medicine for the best chance at treatment success.
The Patient Engagement and Customer Solutions (PECS) organization serves patients, during their treatment journey with Janssen therapies, to help overcome challenges to fulfillment, on-boarding, and adherence.
The Field Reimbursement Manager (FRM) is responsible for serving 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.A Day in the Life Every patient's healthcare experience is unique - shaped by personal experiences and beliefs, the presence or absence of support networks, provider and payer dynamics, and socioeconomic factors.
For many patients, the decision to start or stop a treatment is overwhelming.
J&J; recognizes this, and wants to create an experience that is personalized, helpful, and hopeful.Primary ResponsibilitiesPrimary responsibilities include the following.
Other duties may be assigned.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 teamAct with a sense of urgency to address critical access and affordability issues for patientsPartner with managed care colleagues to understand current policies and potential future changesConduct field-based reimbursement and access support, education and creative problem-solving aligned to FRM Rules of EngagementBuild strong, trust-based relationships with customers in all assigned Immunology accountsManage territory logistics, routing, and account business planningMaintain and grow knowledge of national, regional, local, and account market dynamics including coverage and coding requirementsGrow the knowledge of hub and specialty distribution channels to improve practice and patient support needsCollaborate with internal J&J; departments such as marketing, sales, medical science, SCG, IBG, HCC, and PECSServe 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 trainingMarket Access ExpertiseExtensive knowledge of medication access channels (i.E., pharmacy and medical benefit including buy & bill and/or assignment of benefit (AOB) across multiple sites of careRemains current on and anticipates changes in product coverage and access knowledge, marketplace conditions, and stakeholder practices to deliver the most effective delivery of approved materialsUnderstands and adapts to the changing healthcare ecosystem to customize resourcing and messaging to HCPs and HCP staffQualificationsREQUIREDBachelor's degree (preferably in healthcare or business/public administration).
An advanced business degree (MBA), or public health (MPH)) is preferredMinimum of 5 years of relevant professional experienceAccount Management and/or Reimbursement experience working in the provider office setting, building strong customer relationshipDemonstrated expertise with both pharmacy and medical/buy & bill benefits, coding, and billingReimbursement 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 organizationProblem-solving ability to navigate challenging access scenarios and identifies solutions in a timely and efficient mannerSuperior communication skills (written and verbal) and efficient follow-throughExperience in working with patient support HUB servicesValid US driver's license and a driving record in compliance with company standardsAbility to consistently maintain up to 50% travelPermanent residence in the listed territoryPREFERREDImmunology disease state experienceAdvanced degree and/or relevant certifications in prior authorization and/or billing and codingStrong market access acumen as it relates to payer approval processes and business acumenUnderstanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement of pharmaceutical and biotechnology productsExcellent technical knowledge and expertise in payer policy, including all elements of reimbursement (coding, coverage, and payment) is preferredDemonstrated competence with salesforce.Com CRM use, Microsoft Word, and ExcelThe anticipated base pay range for this position is $ to $.
Employees and/or eligible dependents may be eligible to participate in the following Company sponsored employee benefit programs.Medical, dental, vision, life insurance, short- and long-term disability, business accident insurance, and group legal insurance.
Employees may be eligible to participate in the Company's consolidated retirement plan (pension) and savings plan (401(k)).
This position is eligible to participate in the Company's long-term incentive program.
Employees are eligible for the following time off benefits:Vacation – up to 120 hours per calendar yearSick time - up to 40 hours per calendar year; for employees who reside in the State of Washington – up to 56 hours per calendar yearHoliday pay, including Floating Holidays – up to 13 days per calendar yearWork, Personal and Family Time - up to 40 hours per calendar yearAdditional information can be found through the link below.
For additional general information on Company benefits, please go to.- https://www.Careers.Nj.Com/employee-benefits Johnson & Johnson is an Affirmative Action and Equal Opportunity Employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
For more information on how we support the whole health of our employees throughout their wellness, career and life journey, please visit www.Careers.Nj.Com.
#ProjectUnlockEl anuncio original lo puedes encontrar en Kit Empleo:Https://www.Kitempleo.Es/empleo/110854661/gm-658-field-reimbursement-manager-immunology-dermatology-minneapolis-west-espana/?utm_source=html#J-18808-Ljbffr
