Field Reimbursement Manager, Neuroscience – Patient Engagement & Customer Solutions

Posted 8hrs ago

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Job Description

Field Reimbursement Manager supporting reimbursement and patient access for Johnson & Johnson neuroscience therapies. Educating providers and resolving coverage barriers across a multi-state 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 working time on-site with healthcare providers and their staff
  • Educate HCPs on reimbursement processes, claims submissions, procedures, and payer coding requirements
  • Collaborate with sales representatives, key account managers, managed care colleagues, and other stakeholders
  • Lead compliant access and fulfillment discussions with field support teams
  • Use data and account management skills to proactively address access barriers
  • Address critical patient access and affordability issues
  • 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
  • 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, including revenue cycle, buy-and-bill, prior authorization, coding, and appeals processes
  • Extensive knowledge of medication access channels, including pharmacy and medical benefit
  • 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
  • Neuroscience disease state experience preferred
  • Advanced degree and/or relevant certifications in prior authorization and/or billing and coding preferred
  • Understanding of Medicare, Medicaid, and private payer initiatives affecting pharmaceutical and biotechnology reimbursement preferred
  • Salesforce.com CRM, Microsoft Word, and Excel experience preferred
  • Willingness to learn emerging technologies such as AI
  • 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 (as indicated by job sub-function)