Johnson & Johnson is recruiting for a Field Reimbursement Manager, CAR-T to cover our Northeast Region.
This is a field-based position, with preference for the candidate to reside in the assigned region with easy access to a national airport.
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.
The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with office staff with respect to reimbursement for CAR-T.
This role involves investing significant time (up to 75% potentially on-site) with customers assessing their education needs and facilitating collaboration with various stakeholders.
Primary Responsibilities: Educate the office staff around how to navigate the access and payer approval process, identifying access barriers that they'll need to overcome, and highlighting actions that support access to therapy.
Monitor, analyze, and triage situations which may adversely impact patient access to therapy.
Liaise with the entire Market Access department, other internal groups including sales, and medical groups to identify and resolve trending issues regarding patient access to therapies.
Serve as subject matter expert for internal stakeholders and external office staff regarding the Medicare treatment guidelines, Medicaid Managed Care, commercial plans, policy changes, formulary status and the impact of healthcare reform on coverage.
Maintain and share relevant information regarding account contacts, prior authorization requirements, trends, competitive intelligence, etc. with the Market Access Department.
Educate peers in the Customer Care Area about various elements of Market Access, including reimbursement, medical coverage policies and medical benefit design.
Execute business in accordance with the highest ethical, legal, and compliance standards, including timely and successful completion of all required training.
Qualifications REQUIRED: A minimum of a Bachelor's degree is required.
Advanced degree or clinical license preferred.
Five (5) years relevant experience of which three (3) years are experience in specialty disease state(s).
Excellent technical knowledge and expertise in payer policy, including all elements of reimbursement (coding, coverage, and payment).
Extensive experience in revenue cycle, buy-and-bill, formulary, prior authorization, coding, and appeals processes.
A valid driver's license issued in the United States.
PREFERRED: Two (2) years of reimbursement or relevant managed care experience.
Experience in multiple myeloma or related areas of oncology.
Proven ability to thrive in both an independent setting and in a cross functional / team environment.
Strong knowledge as it relates to payer approval process, and solid business acumen.
Strong organizational, problem solving and project management skills.
Understanding of national and state legislative, Medicare, Medicaid, and private payer initiatives affecting reimbursement of pharmaceutical and biotechnology products.
Success exhibiting peer leadership, mentorship and coaching to new hires as well as the rest of the team.
Demonstrated competence with Salesforce.com CRM use, native iOS app use, Microsoft Word, and Excel.
Superior communication skills (written and verbal) and excellent follow through.
Experience in the field, and especially in oncology.
Ability to develop and execute education plans.
Demonstrated ability to conduct field-based reimbursement and access support, education and consultation.
The anticipated base pay range for this position is $ to $. The Company maintains highly competitive, performance-based compensation programs.
Under current guidelines, this position is eligible for an annual performance bonus in accordance with the terms of the applicable plan. The annual performance bonus is a cash bonus intended to provide an incentive to achieve annual targeted results by rewarding for individual and the corporation's performance over a calendar/performance year. Bonuses are awarded at the Company's discretion on an individual basis.
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)).
Employees are eligible for the following time off benefits:
Vacation – up to 120 hours per calendar year
Sick time - up to 40 hours per calendar year; for employees who reside in the State of Washington – up to 56 hours per calendar year
Holiday pay, including Floating Holidays – up to 13 days per calendar year
Work, Personal and Family Time - up to 40 hours per calendar year.
Additional information can be found through the link below.
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.
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