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5 дней назад

Field Reimbursement Manager (Immunology)

102 000 - 177 100$
Формат работы
onsite
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Field Reimbursement Manager (Immunology) (Market Access/Reimbursement): Supporting healthcare providers and patients with coverage, prior authorization, appeals, coding, billing, and reimbursement for immunology therapies across a field territory with an accent on pharmacy and medical benefits, payer policies, and access problem-solving. Focus on resolving complex patient access scenarios, educating HCP offices, coordinating with cross-functional stakeholders, and managing territory logistics across West Virginia, Virginia, and Kentucky.

Location: Field-based territory covering Roanoke, Virginia; Charleston and Morgantown, West Virginia; and Ashland, Kentucky. Permanent residence in the listed territory is required.

Base pay: $102,000–$177,100 annually.

Company

Johnson & Johnson MedTech develops healthcare and innovative medicine solutions focused on improving patient outcomes and treatment experiences.

What you will do

  • Educate healthcare providers and office staff on product coverage, prior authorizations, appeals, reimbursement processes, claims submissions, coding, and payer requirements.
  • Provide field-based reimbursement and access support for immunology therapies, resolving patient access and affordability issues.
  • Build trusted relationships with customers across assigned Immunology accounts and serve as the local reimbursement subject matter expert.
  • Collaborate with sales, key account management, managed care, marketing, medical science, and other internal teams.
  • Manage territory logistics, routing, account planning, and knowledge of local, regional, and national payer dynamics.
  • Support understanding of hub and specialty distribution channels and adapt resources to changing healthcare ecosystem needs.

Requirements

  • Bachelor’s degree, preferably in healthcare or business/public administration.
  • Minimum of 5 years of relevant professional experience in account management, reimbursement, managed care, revenue cycle, or provider-office settings.
  • Expertise with pharmacy and medical benefits, buy-and-bill, coding, billing, prior authorization, and appeals.
  • Ability to establish relationships, collaborate, influence across a matrix organization, and solve complex access scenarios.
  • Valid U.S. driver’s license, compliant driving record, and ability to travel up to 50%, including occasional evenings and weekends.
  • Permanent residence in the listed territory is required.

Nice to have

  • Experience with patient support HUB services or Immunology disease states.
  • Advanced degree or certifications in prior authorization, billing, or coding.
  • Knowledge of Medicare, Medicaid, private payer initiatives, and pharmaceutical reimbursement policies.
  • Experience with Salesforce CRM, Microsoft Word, and Excel.
  • Interest in applying emerging technologies, including AI, to professional work.

Culture & Benefits

  • Inclusive work environment focused on diversity, dignity, and equal opportunity.
  • Retirement pension and 401(k) savings plans.
  • Vacation, sick time, holiday pay, personal and family time, parental leave, caregiver leave, bereavement leave, and volunteer leave.
  • Field-based work with regular customer travel and collaboration across healthcare functions.

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