Field Reimbursement Manager (Immunology GI)

Location: Field-based Milwaukee, Wisconsin territory including Milwaukee and Madison; permanent residence in the listed territory required. Up to 50% travel and up to 50% on-site time with healthcare providers.

Company

Johnson & Johnson develops healthcare solutions and medicines across Innovative Medicine and MedTech, with a focus on helping patients access and remain on treatment.

What you will do

• Educate healthcare providers and office staff on product coverage, prior authorizations, appeals, reimbursement, claims submissions, procedures, and payer coding requirements.
• Provide field-based reimbursement and access support, resolve patient access and affordability issues, and apply creative problem-solving within the applicable rules of engagement.
• Build trusted relationships with Immunology accounts and manage territory logistics, routing, and account business planning.
• Collaborate with sales representatives, key account managers, managed care colleagues, and internal departments across the organization.
• Monitor national, regional, local, and account-level market dynamics, including coverage and coding requirements.
• Support understanding of hub and specialty distribution channels and provide expertise on access and affordability solutions across Medicare, Medicaid Managed Care, and commercial plans.

Requirements

• Bachelor’s degree, preferably in healthcare or business/public administration.
• Minimum of 5 years of relevant professional experience, including account management, reimbursement, or managed care experience in a provider-office setting.
• Expertise in pharmacy and medical benefits, including buy-and-bill, coding, billing, prior authorization, appeals, and revenue-cycle processes.
• Experience working with patient support HUB services and the ability to collaborate and influence within a matrix organization.
• Valid US driver’s license, compliant driving record, strong communication skills, and effective follow-through.
• Permanent residence in the listed Milwaukee/Madison territory and ability to maintain up to 50% travel are required.

Nice to have

• Immunology disease-state experience.
• Advanced degree or certifications in prior authorization, billing, or coding.
• Knowledge of Medicare, Medicaid, private payer initiatives, and pharmaceutical or biotechnology reimbursement.
• Experience with Salesforce CRM, Microsoft Word, and Excel.

Culture & Benefits

• Inclusive work environment guided by the company’s Credo.
• Work focused on improving patient experience and helping patients start and stay on therapy.
• Collaboration across commercial, medical, compliance, market access, and patient-support functions.
• Work performed in accordance with legal, ethical, and compliance standards.