Field Reimbursement Manager, Neuroscience – Patient Engagement & Customer Solutions
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Job Description
Field Reimbursement Manager supporting reimbursement and patient access to Johnson & Johnson neuroscience therapies. Educating providers and resolving access barriers across Missouri and Arkansas territories.
Responsibilities:
- Educate healthcare providers and office staff on reimbursement processes, claims submissions, procedures, and payer coding requirements
- Serve as the primary field-based lead for education, assistance, and issue resolution related to patient access to J&J Neuroscience therapies
- Collaborate with sales representatives, key account managers, managed care colleagues, and other internal departments
- Serve as the local access, fulfillment, and reimbursement expert
- Lead compliant access and fulfillment discussions
- Use data and account management skills to 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
- Grow knowledge of hub and specialty distribution channels
- Provide expertise on access and affordability solutions across Medicare, Medicaid Managed Care, Commercial, and other payer types
- Execute business according to 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
- 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 in compliance 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 reimbursement preferred
- Salesforce.com CRM, Microsoft Word, and Excel proficiency preferred
- Willingness to learn emerging technologies such as AI
- Ability to travel up to 75% of the time
Benefits:
- Inclusive work environment
- Equal opportunity employment
- Accommodation support during the interview process
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