2 дня назад
Field Reimbursement Manager, Dermatology - Nashville East
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Field Reimbursement Manager, Dermatology - Nashville East (Market Access/Reimbursement): Educating healthcare providers and office staff on coverage, prior authorizations, appeals, reimbursement processes, claims, and coding requirements for immunology therapies with an accent on patient access, affordability, and payer-specific solutions. Focus on resolving challenging access scenarios, managing territory relationships and logistics, and navigating pharmacy and medical benefits across Medicare, Medicaid Managed Care, and commercial plans.
Location: Field-based in Nashville, Tennessee, covering Nashville, Murfreesboro, and Franklin; permanent residence in the listed territory required. The role involves up to 50% travel and up to 50% on-site work with healthcare providers.
Company
Johnson & Johnson MedTech develops healthcare solutions and medicines designed to prevent, treat, and cure complex diseases.
What you will do
- Educate healthcare providers and office staff on product coverage, prior authorizations, appeals, reimbursement processes, 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 rules of engagement.
- Serve as the reimbursement expert for the local team and collaborate with sales representatives, key account managers, managed care colleagues, and other internal departments.
- Build trust-based relationships across assigned Immunology accounts and manage territory logistics, routing, and account business planning.
- Maintain expertise in national, regional, local, and account-level coverage, coding, payment, hub, and specialty distribution requirements.
- Support access and affordability solutions across pharmacy and medical benefits, including buy-and-bill, assignment of benefit, 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 and/or reimbursement work in hospital or provider-office settings.
- Demonstrated expertise in pharmacy and medical benefits, buy-and-bill, coding, billing, prior authorization, appeals, and managed care or revenue-cycle processes.
- Experience working with patient support HUB services and collaborating across matrix organizations.
- Permanent residence in the listed Nashville-area territory, a valid US driver’s license, and a compliant driving record are required.
- Ability to maintain up to 50% travel and perform regular field-based, on-site work with healthcare providers is 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.
- Interest in emerging technologies such as AI.
Culture & Benefits
- Inclusive work environment grounded in respect for diversity and individual dignity.
- Patient-centered work focused on improving treatment access, onboarding, adherence, and healthcare experiences.
- Collaboration across market access, sales, medical science, marketing, compliance, and patient engagement functions.
- Work governed by high ethical, legal, and compliance standards.
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