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

United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Pharmaceuticals, HealthcareIndustries

Requirements

Expertise in reimbursement, market access, and patient support services for specialty products
Strong knowledge of payer organizations (local payers, government payers), coverage, prior authorizations, appeals, claims submissions, coding requirements, and reimbursement processes
Ability to build trust-based relationships with healthcare providers (HCPs) and office staff
Knowledge of national, regional, local, and account market dynamics, including coverage and coding
Understanding of hub and specialty distribution channels
Field-based capability, including up to 20% on-site time with HCPs and virtual support
Ability to manage territory logistics, routing, and account business planning

Responsibilities

Educate HCPs and office staff on product coverage, prior authorizations, appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations
Collaborate with field support team members (e.g., business directors) as the reimbursement expert
Act with urgency 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 and virtual reimbursement and access support, education, and creative problem-solving aligned to FRM Rules of Engagement
Build strong, trust-based relationships with customers in assigned PAH accounts
Manage territory logistics, routing, and account business planning
Assess HCP education needs and facilitate collaboration and case management with stakeholders
Provide virtual support for case management in community practices as needed
Maintain and grow knowledge of market dynamics, coverage, and coding requirements

Skills

Key technologies and capabilities for this role

ReimbursementMarket AccessPulmonary HypertensionPatient EngagementKey Account ManagementHealthcare ComplianceTreatment AccessCustomer Solutions

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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