Field Reimbursement Manager, CAR-T - Mid Atlantic Region

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Sales Enablement

Customer Success Management

Professional

Delaware (Any City), Kentucky (Any City), Maryland (Any City), Michigan (Any City), Ohio (Any City), Pennsylvania (Any City), Tennessee (Any City), Virginia (Any City), Washington, District of Columbia, United States of America, West Virginia (Any City)

Johnson & Johnson is recruiting for a Field Reimbursement Manager, CAR-T to cover our Mid Atlantic Region (VA, WV, OH, MI, PA, MD, Washington DC, DE, Eastern TN, Eastern KY). This is a field-based position in the United States, with preference for the candidate to reside in the assigned region with easy access to a national airport.

This is a field-based role available in all states within the United States. While specific cities are listed in the Locations section for reference, please note that they are examples only and do not limit your application. We invite candidates from any location to apply.

Our expertise in Innovative Medicine is informed and inspired by patients, whose insights fuel our science-based advancements. Visionaries like you work on teams that save lives by developing the medicines of tomorrow.

Our Oncology team is focused on the elimination of cancer by discovering new pathways and modalities to finding treatments and cures. We lead where medicine is going and need innovators with an unwavering commitment to results.

Join us in developing treatments, finding cures, and pioneering the path from lab to life while championing patients every step of the way.

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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.

• 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 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.

• A minimum of a Bachelor’s degree is required
• Five years relevant experience of which three years are experience in specialty disease state(s)
• Must live within assigned geographic region
• 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
• Candidates must live in close proximity to a major airport.
• A Valid Driver's License issued in the United States

• Advanced degree, or clinical license preferred
• Two 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,…