Remote Case Management Processor Jobs in Raleigh, NC

At Johnson & Johnson,we believe health is everything. Our strength in healthcare innovation empowers us to build aworld where complex diseases are prevented, treated, and cured,where treatments are smarter and less invasive, andsolutions 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 jnj.com.

As guided by Our Credo, Johnson & Johnson is responsible to our employees who work with us throughout the world. We provide an inclusive work environment where each person is considered as an individual. At Johnson & Johnson, we respect the diversity and dignity of our employees and recognize their merit.

Job Function:

Customer Management

Job Sub Function:

Patient Advocacy

Job Category:

Professional

All Job Posting Locations:

Charlotte, North Carolina, United States, Dallas, Texas, United States, Horsham, Pennsylvania, United States of America, Orlando, Florida, United States of America, Phoenix, Arizona, United States, Pittsburgh, Pennsylvania, United States of America, Raleigh, North Carolina, United States

Job Description:

Our expertise in Innovative Medicine is informed and inspired by patients, whose insights fuel our science-based advancements. Visionaries like you work on teams that save lives by developing the medicines of tomorrow.

Join us in developing treatments, finding cures, and pioneering the path from lab to life while championing patients every step of the way.

Learn more at https://www.jnj.com/innovative-medicine

We are searching for the best talent for a Field Liaison to be located in Pittsburgh, PA; Raleigh, NC; Charlotte, NC, Orlando, FL; Phoenix, AZ, Dallas, TX or Horsham, PA.

Purpose:

The Field Liaison is a non-promotional, operations-focused role within the Patient Service Center (PSC). This position serves as the primary operational link between internal case management teams and the Field Reimbursement organization, partnering closely with Field Reimbursement Managers (FRMs) and Associate Directors (FRADs). This role ensures coordination on complex patient access cases, translates field-identified barriers into potential process improvements, and provides the field reimbursement team with clear, timely visibility into PSC workflows. The Field Liaison operates in full compliance with applicable regulations and internal policies.

Responsibilities:

Field Reimbursement Partnership

• Serve as the designated Patient Service Center (PSC) Operations point of contact for assigned Field Reimbursement team members, ensuring consistent communication on patient access cases, access trends, and PSC operational updates.

• Participate in regular business reviews, pipeline calls, and regional FRM/FRAD meetings to discuss access trends, payer changes, and field-identified barriers; translate insights into PSC action plans.

• Clearly communicate PSC services, workflows, SLAs, escalation paths, and documentation expectations with HCP offices and patients.

• Compile and share PSC performance data (e.g., benefit investigations, time-to-therapy, prior authorization turnaround, rejection and denial trends, appeal outcomes) to support field strategies and account planning.

• Maintain structured feedback loops and accurate documentation of interactions, escalations, and resolutions in CRM and PSC case management platforms.

Case Escalation & Access Resolution

• Triage & coordinate resolution of complex access and reimbursement issues raised by the Field Reimbursement partners.

• Troubleshoot patient and account specific reimbursement challenges and assistance programs.

• Coordinate high-priority escalations with clear routing, tracking, and timely resolution updates.

• Identify field-reported access barriers (e.g., prior authorization criteria shifts, denial rationale patterns, site-of-care challenges, affordability issues) and partner with PSC Operations leadership on process improvements.

Operational Alignment & Program Execution

• Support implementation of new patient access programs, payer policy updates, and field reimbursement playbooks by ensuring team readiness.

• Partner on launch readiness and major initiative by identifying process gaps and recommending enhancements.

• Contribute to the development and refinement of PSC reporting and dashboards used by FRADs, ensuring data relevance (case status views, turnaround times, denial categories, SLA adherence) and accessibility.

Compliance, Documentation & Quality

• Ensure all communications and materials align with non-promotional requirements and compliance standards.

• Operate in adherence with HIPAA, OIG, and other applicable regulations; escalate compliance concerns promptly.

Other

• Primarily remote role with periodic travel (approximately 10-30%) for Field Reimbursement regional meetings, business reviews, cross-functional workshops, and training delivery.

• Other Duties as assigned.
  

Required Qualifications:

• Bachelor's degree required - preferably in healthcare, life sciences, pharmacy, or business administration.

• A minimum of 3 years' experience in pharmaceutical or biotech operations, patient services, field reimbursement support, payer relations, or a closely related function.

• Experience partnering with or supporting Field Reimbursement Managers, Field Reimbursement Associate Directors, Market Access, or Patient Support Services teams.

• Proficiency with CRM, case management systems, and Microsoft Office tools.

• Clear, confident communicator with strong presentation skills. Highly organized, adaptable, and effective in managing multiple escalations.

Preferred Qualifications:

• Master's degree

• Strong understanding of specialty reimbursement processes (benefit verification, PA, appeals, coding, financial assistance).

• Proven ability to manage cross-functional relationships without direct authority.

• Background in specialty product access, particularly in immunology, oncology, or rare disease programs, is a plus.

• This is a non-promotional role; all field interactions must remain within compliant, operationally focused boundaries.

#Li-Remote

Johnson & Johnson is an 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, disability, protected veteran status or other characteristics protected by federal, state, or local law. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act.

Johnson & Johnson is committed to providing an interview process that is inclusive of our applicants' needs. If you are an individual with a disability and would like to request an accommodation, external applicants please contact us via https://www.jnj.com/contact-us/careers, internal employees contact AskGS to be directed to your accommodation resource.

Required Skills:

Preferred Skills:

Analytical Reasoning, Analytics Insights, Business Behavior, Care Planning, Clinical Evaluations, Coaching, Communication, Customer Support Operations, Customer Support Trends, Execution Focus, Learning Agility, Patient Advocacy, Patient Care, Patient-Customer Experience, Problem Solving, Provider Environment, Technical Credibility