FIELD REIMBURSEMENT ACCESS SPECIALIST (2 POSITIONS)

Janssen Ortho, LLC, a member of the Johnson & Johnson Family of Companies, is recruiting for a Field Reimbursement Access Specialist (2 positions)! This is a field-based position.
An internal pre-identified candidate for considerations has been identified.
However, all applications will be considered.
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.
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Every patient’s healthcare experience is unique - shaped by personal experiences and beliefs, the presence or absence of support networks, provider and payer dynamics, and socioeconomic factors.
For many patients, the decision to start or stop a treatment is overwhelming.
J&J recognizes this, and wants to create an experience that is personalized, helpful, and hopeful.
An important aspect of patient unmet need includes helping them start and stay on their medicine for the best chance at treatment success.
The Patient Engagement and Customer Solutions (PECS) organization serves patients, during their treatment journey with Janssen therapies, to help overcome challenges to fulfillment, on-boarding, and adherence.
PECS is committed to setting the standard on Patient Experience (Px), building more personalized, seamless, and supportive experiences to help patients start and stay on treatments across the portfolio.
The Field Reimbursement Access Specialist (FRAS) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs), and their office staff, with respect to patient access to J&J therapies.
This role involves investing time (up to 60%) on-site with HCPs, assessing their education needs and facilitating collaboration with various stakeholders.
Key Responsibilities.
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 specialists and serve as reimbursement expert for the local team Partner with managed care colleagues to understand current policies and potential future changes Build strong, trust-based relationships with customers in all assigned Oncology and/or Immunology accounts Conduct field-based reimbursement and access support, education and creative problem-solving aligned to FRAS Rules of Engagement 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, HCC, and PECS Serve as subject matter expert regarding education and insights on access and affordability solutions across multiple payer types and plans pertaining Puerto Rico’s access dynamics (i.
., 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 Education.
Minimum of a Bachelor’s degree is required, preferably in healthcare or business fields Advanced degree and/or relevant certifications in prior authorization and billing and coding is preferred Experience and Skills.
Required.
Minimum 2 years of relevant professional experience Familiarity with pharmacy and medical benefits Knowledge in reimbursement or relevant managed care experience (revenue cycle, buy-and-bill, prior authorization, coding, and appeals processes) Familiarity with account management and/or reimbursement, working in the provider office setting, building strong customer relationship 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 Excellent communication skills (written and verbal) and efficient follow-through Preferred.
Oncology and or Immunology disease state experience Experience working with patient support HUB services 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 Good technical knowledge and expertise in payer policy, including all elements of reimbursement (coding, coverage, and payment) Demonstrated competence with salesforce.
om CRM use, Microsoft Word, and Excel Other.
Bilingual fluency in both English and Spanish (written and oral) is required Must have a valid Puerto Rico driver’s license and a driving record in compliance with company standards Requires up to ten percent (10%) of travel time and flexibility in territory geographical coverage Johnson & Johnson is an Affirmative Action and 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, or protected veteran status and will not be discriminated against on the basis of disability.
For more information on how we support the whole health of our employees throughout their wellness, career and life journey, please visit www.
areers.
nj.
om (http://www.
areers.
nj.
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