Principal Field Reimbursement Manager Immunology Rheumatology – Providence RI opportunity is open at Johnson & Johnson HCS, Inc. USA. This field position supports healthcare providers in the specialty of Rheumatology and Immunology by ensuring that patients gain access to the therapies that they need. The Field Reimbursement Manager will educate provider offices on benefits verification, prior authorization, coding, and payer policies. The position will require good knowledge of Medicare, Medicaid, and commercial reimbursement, coupled with practical experience in buy-and-bill, HUB services, and appeals processes.
Johnson & Johnson HCS is looking for someone with a bachelor’s degree with at least 5 years of relevant experience in reimbursement, market access, or patient support services. This role shall be based in Providence, Rhode Island, with daily travel across the territory to support provider offices.
Joining the PECS team at Johnson & Johnson will be critical in enabling patients with autoimmune and rheumatology conditions to access innovative therapies in the Immunology portfolio.
Job Notification details – Field Reimbursement Manager
About Johnson & Johnson HCS, Inc. USA.
We believe at Johnson & Johnson that health is at the center of everything. Our competence in healthcare innovation empowers us to forge a future in which grave maladies could be possibly prevented, treated, and cured; we strive toward improving the intelligence, invasiveness, and personal nature of treatments. With our prowess straddling both Innovative Medicine and MedTech, we are uniquely positioned to advance healthcare across the full continuum of today’s care to tomorrow’s breakthroughs. We aim to leave an enduring imprint on health that benefits people everywhere.
Learn more at www.jnj.com.
Application Deadline
It is expected that this job posting will close on September 5, 2025; however, the application period may be extended at our discretion. If so, the posting will remain active at www.careers.jnj.com, where additional applications will continue to be received.
About Innovative Medicine
Johnson & Johnson Innovative Medicine formulates patient insight-driven therapies required for the management of ailments under Oncology, Immunology, and Neuroscience and Cardiopulmonary and Ophthalmology. The PECS team is hiring a Reimbursement Manager to manage specific territories in Rhode Island and Massachusetts, with an emphasis on optimizing the patient experience and their access to therapy.
You can explore more about their mission and innovations on J&J’s Innovative Medicine page.
Job Description
The Patient Engagement and Customer Solutions (PECS) Janssen team is responsible for facilitating patients in initiating and continuing their prescribed therapies by addressing all challenges related to access and adherence.
The Field Reimbursement Manager acts as an essential pillar of this process by directly engaging with healthcare providers-all the much spending up to 50% of their time on site-educate on the products, troubleshoot access issues and coordinate with stakeholders for smooth patient onboarding and support to J&J Immunology treatments.
A Day in the Life
Every patient’s healthcare journey is different. It can be shaped by personal experiences, beliefs, family support, healthcare providers, insurance coverage, and even financial circumstances. For many, deciding whether to begin or continue treatment can feel overwhelming. At Johnson & Johnson, we understand these challenges and are committed to making the experience more personal, supportive, and hopeful.
Primary Responsibilities
Primary responsibilities include the following. Other duties may be assigned.
- Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, etc.) 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 a sense of urgency to address critical access and affordability issues for patients.
- Partner with managed care colleagues to understand current policies and potential 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 national, regional, local, and account market dynamics including coverage and coding requirements.
- Grow the knowledge of hub and specialty distribution channels to improve practice and 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 multiple payer types and plans (i.e., Medicare, Medicaid Managed Care, Commercial).
- Execute business in accordance with the highest ethical, legal, and compliance standards, including timely and successful completion of all required training.
Qualifications REQUIRED
- Bachelor’s degree (preferably in healthcare or business/public administration). An advanced business degree (MBA), or public health (MPH) is preferred.
- Minimum of 5 years of relevant professional experience
- Account Management and/or Reimbursement experience working in the hospital and/or provider office setting, building strong customer relationship.
- Demonstrated expertise with both pharmacy and medical/buy & bill benefits (as applicable), coding, and billing.
- Reimbursement or relevant managed care experience (revenue cycle, buy-and-bill, prior authorization, coding, and appeals processes)
- Ability to establish relationships, collaborate, and influence across a matrix organization.
- Problem-solving ability to navigate challenging access scenarios and identifies solutions in a timely and efficient manner.
- Experience in working with patient support HUB services.
- Valid US driver’s license and a driving record in compliance with company standards
- Ability to consistently maintain up to 50% travel.
- Permanent residence in the listed territory
PREFERRED
- Immunology disease state experience
- Advanced degree and/or relevant certifications in prior authorization and/or billing and coding
- Strong market access acumen as it relates to payer approval processes and business acumen.
- Understanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement of pharmaceutical and biotechnology products
- Excellent technical knowledge and expertise in payer policy, including all elements of reimbursement (coding, coverage, and payment) is preferred.
- Demonstrated competence with salesforce.com CRM use, Microsoft Word, and Excel
The anticipated base pay range for this position
$100,000 – $175,000
Conclusion
It is an opportunity of a lifetime as much as it is a job to be a Field Reimbursement Manager. It sells hopes to patients and helps them get through treatment obstacles to give them a better chance at leading a healthier life. A person who cherishes teamwork, differences, problem-solving, and helping others would find this opportunity with the Johnson & Johnson family very intriguing. Dive in headfirst and apply with confidence to be part of a team that shapes the health care future!
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Source: This job notification was originally published on Johnson&Johnson
