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.?Learn more at jnj.com
As guided by Our Credo, Johnson & Johnson is responsible to our employees who work with us throughout the world. We provide an inclusive work environment where each person is considered as an individual. At Johnson & Johnson, we respect the diversity and dignity of our employees and recognize their merit.
Job Function:
Pharmaceutical Sales
Job Sub Function:
Sales - Pharm (No Commission)
Job Category:
Professional
All Job Posting Locations:
Atlanta, Georgia, United States, Boston, Massachusetts, United States of America, Dallas, Texas, United States, New Brunswick, New Jersey, United States of America, New York (Any City), Philadelphia, Pennsylvania, United States, Raleigh, North Carolina, United States
Job Description:
At Johnson & Johnson Innovative Medicine (JJIM), what matters most is helping people live full and healthy lives. We focus on treating, curing, and preventing some of the most devastating and complex diseases of our time. And we pursue the most promising science, wherever it might be found.
Johnson & Johnson Innovative Medicine's Patient Engagement and Customer Solutions (PECS) team is recruiting for a field-based Field Reimbursement Manager to support Corporate Accounts nationally.
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.
Job Description:
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 National Field Reimbursement Manager (FRM) serves as the primary field-based lead for education, support, and issue resolution related to patient access to J&J Neuroscience therapies. The role spends up to 50% of its time on-site with corporate customers, healthcare providers (HCPs), and office staff to assess educational needs and facilitate collaboration among key 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 Responsibilities:
Primary responsibilities include the following. Other duties may be assigned.
Gain a deep understanding of corporate access and reimbursement processes, objectives, and challenges and then translating this knowledge into developing strategic plans
Educate stakeholders on reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, etc.)
Effectively collaborate with field support team members such as key account managers and field reimbursement managers across the nation and serve as access, fulfillment, and reimbursement expert for account
Lead compliant access and fulfillment discussions with field support team members
Utilize data and account management skills to proactively address access barriers
Act with a sense of urgency and accountability 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 accounts
Manage account engagement logistics, routing, and 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
Experience and Skills:
Extensive knowledge of medication access channels (i.e., pharmacy and medical benefit including buy & bill and/or assignment of benefit (AOB))
Demonstrates critical thinking
Ability to analyze highly complex, quantitative and qualitative data to accelerate speed to access
Ambitious and possess a high degree of intellectual curiosity
Excellent social, communication, facilitation and presentation skills required
Remains current on and anticipates changes in product coverage and access knowledge, marketplace conditions, and stakeholder practices to deliver the most effective delivery of approved materials
Understands and adapts to the changing healthcare ecosystem to customize resourcing and messaging to HCPs, HCP staff
Required Qualifications
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 provider office setting, building strong customer relationship
Demonstrated expertise with both pharmacy and medical/buy & bill benefit design, coding, billing, prior authorizations, office operations, and appeals processes
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
Superior communication skills (written and verbal) and efficient follow-through
Experience in working with patient support HUB services
Valid US driver's license and a driving record in compliance with company standards and can travel up to 50%
Preferred Qualifications
Neuroscience disease state experience
Advanced degree and/or relevant certifications in prior authorization and/or billing and coding
Strong market access acumen as it relates to payer approval processes and business acumen
Understanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement of pharmaceutical and biotechnology products
Excellent technical knowledge and expertise in payer policy, including all elements of reimbursement (coding, coverage, and payment) is preferred
Demonstrated competence with salesforce.com CRM use, Microsoft Word, and Excel
Johnson & Johnson is an 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, disability, protected veteran status or other characteristics protected by federal, state or local law. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act.
Johnson & Johnson is committed to providing an interview process that is inclusive of our applicants' needs. If you are an individual with a disability and would like to request an accommodation, external applicants please contact us via https://www.jnj.com/contact-us/careers and internal employees contact AskGS to be directed to your accommodation resource.
Required Skills:
Preferred Skills:
Account Management, Analytical Reasoning, Competitive Landscape Analysis, Compliance Management, Cross-Functional Collaboration, Developing Others, Fact-Based Decision Making, Inclusive Leadership, Leadership, Market Access Reimbursement, Market Opportunity Assessment, Operational Excellence, Performance Measurement, Pricing Strategies, Relationship Building, Strategic Thinking, Team Management
The anticipated base pay range for this position is :
$102,000.00 - $177,100.00
Additional Description for Pay Transparency:
This position is eligible to participate in the Company's long-term incentive program.
Subject to the terms of their respective policies and date of hire, employees are eligible for the following time off benefits:
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
