[Remote] Field Reimbursement Manager (Pulmonary Hypertension) – National Coverage at Johnson & Johnson

United States

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Not SpecifiedCompensation

N/AExperience Level

N/AJob Type

Not SpecifiedVisa

N/AIndustries

Requirements

Experience with healthcare providers (HCPs) and their office staff
Knowledge of patient access to J&J PAH therapies
Understanding of payer organizations (local payers, government payers, etc.)
Experience with reimbursement processes, claims submissions, procedures, and coding requirements
Ability to collaborate with field support team members
Ability to understand current policies and potential future changes
Ability to manage territory logistics, routing, and account business planning
Ability to maintain and grow knowledge of market dynamics including coverage and coding requirements

Responsibilities

Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements
Collaborate with field support team members such as business directors and serve as reimbursement expert
Address critical access and affordability issues for patients
Partner with managed care colleagues to understand current policies and potential future changes
Conduct field-based and virtual reimbursement and access support, education and creative problem-solving
Build strong, trust-based relationships with customers in all assigned PAH 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

Skills

Johnson & Johnson

Healthcare products in pharmaceuticals and devices.

About Johnson & Johnson

Johnson & Johnson operates in the healthcare sector with three main areas: pharmaceuticals, medical devices, and consumer health products. In the pharmaceuticals segment, the company develops prescription drugs for various medical conditions such as cancer and infectious diseases. The medical devices segment provides products used in surgeries and other medical procedures, while the consumer health segment offers over-the-counter products, including baby care and personal health items. Johnson & Johnson generates revenue through direct sales and partnerships, and it invests significantly in research and development to create new products that meet the needs of consumers and healthcare providers. The company stands out from competitors by emphasizing diversity, equity, and inclusion in its workplace, fostering an environment where employees can share their perspectives. Its goal is to improve patient outcomes and enhance the overall health and well-being of individuals globally.

New Brunswick, New JerseyHeadquarters

1886Year Founded

IPOCompany Stage

HealthcareIndustries

10,001+Employees

Risks

J&J faces a class action lawsuit in Australia over ineffective cold and flu medications.

Former J&J executives joining other firms could lead to increased competition.

Ongoing legal battles, like the lawsuit against Cigna, pose financial liabilities for J&J.

Differentiation

J&J operates in three segments: pharmaceuticals, medical devices, and consumer health.

The company invests heavily in R&D for innovative medical solutions and products.

J&J is committed to diversity, equity, and inclusion in its workplace culture.

Upsides

J&J's collaboration with Helsinki University Hospital focuses on value-based healthcare models.

The rise of personalized medicine offers J&J opportunities in targeted therapies.

Increased focus on digital health solutions presents expansion opportunities for J&J.

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