Field Reimbursement Manager; Immunology Rheumatology - Fresno, CA – Johnson & Johnson HCS, Inc.

Field Reimbursement Manager (Immunology Rheumatology) – Fresno, CA – Johnson & Johnson HCS, Inc.

Johnson & Johnson Med Tech invites you to apply for this opportunity. (Posted 3 days ago – among the first 25 applicants.) The role is based in Fresno, California and supports the Fresno, Bakersfield, Lancaster, Palmdale, and Visalia territories.

Johnson & Johnson believes health is everything. Our strength in healthcare innovation helps build a world where complex diseases are prevented, treated, and cured. Through our work in Innovative Medicine and Med Tech, we bring breakthroughs from lab to life and profoundly impact health for humanity.

The Field Reimbursement Manager (FRM) is a field‑based lead responsible for educating, assisting, and resolving issues with healthcare providers (HCPs) and their staff regarding patient access to Janssen Immunology therapies. The role spends up to 50% of its time on site with HCPs, assessing their education needs, and collaborating with cross‑functional teams.

Every patient’s healthcare journey is unique. The FRM helps navigate education, reimbursement, and access challenges, ensuring patients can start and stay on the right treatment in a personalized, supportive environment.

• Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations for core and launch products.
• Collaborate with field support team members such as sales representatives and key account managers and serve as reimbursement expert for the local team.
• Act with urgency to address critical access and affordability issues for patients.
• Partner with managed care colleagues to understand current policies and anticipate 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 Immunology accounts.
• Manage territory logistics, routing, and account business planning.
• Maintain and grow knowledge of market dynamics, coverage, and coding requirements at national, regional, local, and account levels.
• Expand understanding of hub and specialty distribution channels to improve 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 payer types (Medicare, Medicaid, Commercial).
• Execute the role in accordance with the highest ethical, legal, and compliance standards, including timely completion of all required training.

• Extensive knowledge of medication access channels, including pharmacy and medical benefits, buy‑and‑bill, and assignment of benefit across multiple sites of care.
• Stay current on changes in product coverage, access knowledge, marketplace conditions, and stakeholder practices to deliver effective solutions.
• Understands and adapts to the evolving healthcare ecosystem to customize resources and messaging to HCPs and their staff.

• Bachelor’s degree (preferably in healthcare or business/public administration); advanced degree (MBA, MPH) preferred.
• Minimum of 5 years of relevant professional experience.
• Account Management and/or Reimbursement experience in hospital and/or provider office settings.
• Demonstrated expertise with pharmacy and medical/buy‑and‑bill benefits, coding, and billing.
• Reimbursement or managed care experience (revenue cycle, buy‑and‑bill, prior authorization, coding, appeals).
• Ability to establish relationships, collaborate, and influence across a matrix organization.
• Problem‑solving skills to navigate challenging access scenarios and identify timely solutions.
• Experience with patient support HUB services.
• Valid U.S. driver’s license and driving record in compliance with company standards.
• Ability to travel up to 50% of the time.
• Permanent residence in the listed territory.

• Experience with immunology disease states.
• Advanced…