Field Reimbursement Manager, CAR-T - West Region
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 https://www.jnj.com
Job Function:
Sales Enablement
Job Sub Function:
Customer Success Management
Job Category:
Professional
All Job Posting Locations:
Anchorage, Alaska, United States, Billings, Montana, United States, Boise, Idaho, United States, Denver, Colorado, United States, Des Moines, Iowa, United States, Fargo, North Dakota, United States, Honolulu, Hawaii, United States, Las Vegas, Nevada, United States, Los Angeles, California, United States of America, Milwaukee, Wisconsin, United States, Minneapolis, Minnesota, United States of America, Omaha, Nebraska, United States, Portland, Oregon, United States, Salt Lake City, Utah, United States of America, San Diego, California, United States of America, Seattle, Washington, United States of America, Sioux Falls, South Dakota, United States
Job Description:
Johnson & Johnson is recruiting for a Field Reimbursement Manager to cover our West Region. 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.
About Innovative Medicine
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.
Join us in developing treatments, finding cures, and pioneering the path from lab to life while championing patients every step of the way.
Learn more at https://www.jnj.com/innovative-medicine
About Oncology
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.
Learn more at https://www.jnj.com/innovative-medicine
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.
Primary Responsibilities:
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
QUALIFICATIONS
REQUIRED:
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
PREFERRED:
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, problem solving and project management skills.
Understanding of national and state legislative, Medicare, Medicaid, and private payer initiatives affecting reimbursement of pharmaceutical and biotechnology products.
Success exhibiting peer leadership, mentorship and coaching to new hires as well as the rest of the team.
Demonstrated competence with salesforce.com CRM use, native iOS app use, Microsoft Word, and Excel
Superior communication skills (written and verbal) and excellent follow through
Experience in the field, and especially in oncology
Ability to develop and execute education plans
Demonstrated ability to conduct field-based reimbursement and access support, education and consultation
Resides in Washington, California, Oregon, Alaska, Hawaii, Idaho, Montana, Wyoming, Utah, Nevada, Colorado, North Dakota, South Dakota, Nebraska, Minnesota, Iowa, or Wisconsin. Candidates that live in other states may be considered.
Travel. This position covers Washington, California, Oregon, Alaska, Hawaii, Idaho, Montana, Wyoming, Utah, Nevada, Colorado, North Dakota, South Dakota, Nebraska, Minnesota, Iowa, and Wisconsin with significant travel up to 75% domestic travel depending on candidate location (approximately half of that time could be overnights). Candidate should live within 1.5 hours of a major metro airport within the stated geography.
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 and 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, please email the Employee Health Support Center (ra-employeehealthsup@its.jnj.com) or contact AskGS to be directed to your accommodation resource.
The anticipated base pay range for this position is :
$100,000-$172,500
Additional Description for Pay Transparency:
The Company maintains highly competitive, performance-based compensation programs. Under current guidelines, this position is eligible for an annual performance bonus in accordance with the terms of the applicable plan. The annual performance bonus is a cash bonus intended to provide an incentive to achieve annual targeted results by rewarding for individual and the corporation’s performance over a calendar/performance year. Bonuses are awarded at the Company’s discretion on an individual basis. Employees and/or eligible dependents may be eligible to participate in the following Company sponsored employee benefit programs: medical, dental, vision, life insurance, short- and long-term disability, business accident insurance, and group legal insurance. Employees may be eligible to participate in the Company’s consolidated retirement plan (pension) and savings plan (401(k)). Employees are eligible for the following time off benefits: Vacation – up to 120 hours per calendar year Sick time - up to 40 hours per calendar year; for employees who reside in the State of Washington – up to 56 hours per calendar year Holiday pay, including Floating Holidays – up to 13 days per calendar year of Work, Personal and Family Time - up to 40 hours per calendar year Additional information can be found through the link below. http://www.careers.jnj.com/employee-benefits The compensation and benefits information set forth in this posting applies to candidates hired in the United States. Candidates hired outside the United States will be eligible for compensation and benefits in accordance with their local market.
Push the boundaries of science to transform health—and your career.
Join us and advance life-changing treatments for people who need them most. At Johnson & Johnson, our focus is on improving global health equity and developing MedTech and pharmaceutical innovations that impact the future of health. Using AI and robotics to transform surgery or helping data scientists and clinicians formulate new ways to diagnose and treat disease, this work may sound like sci-fi, but it’s all science, all real, and could be your career. Whatever your background, skills, or career goals, there’s a place for you to help solve some of the world’s most pressing health challenges with us.
Accelerate your career while changing the world.
Each of our broadly-based family of companies offers an inclusive and empowering culture and employee benefits (like paid time off to volunteer, transgender-inclusive and same-sex partner health insurance coverage, and more) designed to help you live your best life, however you define it. And our best-in-class learning and development approaches, mentorship, and access to innovators across the world will help you grow your skills and reach your career goals. Because when you're at your best, nothing stands between you and your next breakthrough.