Field Reimbursement Manager – Neuroscience
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Job Description
Field Reimbursement Manager educating Florida healthcare providers on reimbursement and access. Resolving coverage barriers for J&J neuroscience patients across the Tampa territory.
Responsibilities:
- Serve as the primary field-based lead for education, assistance, and issue resolution regarding patient access to J&J Neuroscience therapies
- Spend up to 50% of time on-site with healthcare providers and office staff
- Assess HCP education needs and facilitate collaboration with stakeholders
- Educate HCPs on reimbursement processes, claims submissions, procedures, and payer coding requirements
- Collaborate with sales representatives, key account managers, and field support teams
- Lead compliant access and fulfillment discussions
- Proactively address access barriers using data and account management skills
- Address critical patient access and affordability issues
- Partner with managed care colleagues on current and future policies
- Conduct field-based reimbursement and access support, education, and problem-solving
- Build trust-based relationships across assigned accounts
- Manage territory logistics, routing, and account business planning
- Maintain knowledge of market dynamics, coverage, and coding requirements
- Develop knowledge of hub and specialty distribution channels
- Collaborate with internal J&J departments including marketing, sales, medical science, SCG, IBG, HCC, and PECS
- Serve as subject matter expert on access and affordability solutions across Medicare, Medicaid Managed Care, Commercial, and other payer types
- Complete business activities in accordance with ethical, legal, and compliance standards and required training
Requirements:
- Bachelor’s degree, preferably in healthcare or business/public administration
- Minimum of 5 years of relevant professional experience
- Account Management and/or Reimbursement experience working in the provider office setting
- Expertise with pharmacy and medical/buy & bill benefit design, coding, billing, prior authorizations, office operations, and appeals processes
- Reimbursement or relevant managed care experience
- Ability to establish relationships, collaborate, and influence across a matrix organization
- Problem-solving ability to navigate challenging access scenarios
- Superior written and verbal communication skills and efficient follow-through
- Experience working with patient support HUB services
- Valid US driver’s license and driving record compliant with company standards
- Permanent residence in the listed territory
- Extensive knowledge of medication access channels
- Ability to analyze complex quantitative and qualitative data
- Knowledge of product coverage, access, marketplace conditions, and stakeholder practices
- Ability to adapt to the changing healthcare ecosystem
- Preferred: MBA or MPH
- Preferred: Neuroscience disease state experience
- Preferred: advanced degree and/or relevant certifications in prior authorization and/or billing and coding
- Preferred: market access and payer approval knowledge, including Medicare, Medicaid, and private payer initiatives
- Preferred: Salesforce.com CRM, Microsoft Word, and Excel
- Demonstrated commitment to learning emerging technologies such as AI
- Willingness and ability to travel up to 75% of the time
Benefits:
- Equal Opportunity Employer
- Inclusive interview process and accommodation support for applicants with disabilities
- Field-based work arrangement
- No commission (job sub-function: Sales – Pharm (No Commission))
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