Senior Field Reimbursement Specialist (Puerto Rico)
On-site · Guaynabo, Guaynabo, Puerto Rico
Job Summary
Senior Field Reimbursement Specialist in Puerto Rico focused on educating healthcare providers on product coverage, prior authorizations, and reimbursement processes for Janssen Oncology therapies. Responsible for field-based education and issue resolution with HCPs and their staff, on-site engagement (up to 50%), collaboration with field support and hub teams, and advancing patient access and affordability. The role requires deep knowledge of Puerto Rico’s payer landscape (Medicare, Medicaid, Commercial), strong relationship-building across internal and external stakeholders, and the ability to navigate complex reimbursement and coding requirements. Travel within the territory (San Juan, Ponce) is required; bilingual (English/Spanish) is preferred. Ensure compliance with ethical and legal standards and complete required training.
Required Qualifications
- Bachelor’s degree (preferably in healthcare or business)
- Minimum of 5 years of relevant professional experience
- Account Management and/or Reimbursement experience in provider settings
- Pharmacy and medical/buy & bill benefits, coding, and billing experience
- Reimbursement or managed care experience (revenue cycle, buy-and-bill, prior authorization, coding, and appeals)
- Strong communication skills (written and verbal) and follow-through
- Ability to travel up to 50%
- Bilingual (English/Spanish)
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