Field Reimbursement Manager – Neuroscience
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Job Description
Field Reimbursement Manager educating healthcare providers and resolving reimbursement barriers for Johnson & Johnson Neuroscience therapies. Managing access across the Raleigh territory and surrounding accounts.
Responsibilities:
- Serve as the primary field-based lead for education, assistance, and issue resolution related to patient access to J&J Neuroscience therapies
- Educate healthcare providers and office staff on reimbursement processes, claims submissions, procedures, and payer coding requirements
- Collaborate with sales representatives, key account managers, managed care colleagues, and other internal J&J departments
- Serve as the local team’s access, fulfillment, and reimbursement expert
- Lead compliant access and fulfillment discussions
- Use data and account management skills to address access barriers proactively
- Address critical patient access and affordability issues with urgency and accountability
- Conduct field-based reimbursement and access support, education, and creative problem-solving
- Build trust-based relationships with customers in assigned accounts
- Manage territory logistics, routing, and account business planning
- Maintain knowledge of market dynamics, coverage, and coding requirements
- Grow knowledge of hub and specialty distribution channels
- Serve as subject matter expert on access and affordability solutions across Medicare, Medicaid Managed Care, and commercial payer plans
- Execute business in accordance with ethical, legal, and compliance standards and complete 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, including revenue cycle, buy-and-bill, prior authorization, coding, and appeals processes
- Extensive knowledge of medication access channels
- Ability to analyze complex quantitative and qualitative data
- 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
- Willingness and ability to travel up to 75% of the time
- Neuroscience disease state experience preferred
- MBA or MPH preferred
- Advanced degree and/or relevant certifications in prior authorization and/or billing and coding preferred
- Salesforce.com CRM, Microsoft Word, and Excel proficiency preferred
Benefits:
- Inclusive work environment
- Equal opportunity employment
- Interview process accommodations for applicants with disabilities
- Field-based work arrangement
- Professional development through learning emerging technologies, such as AI
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