Field Reimbursement Manager – Neuroscience, Patient Engagement, Customer Solutions

Posted 1hrs ago

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Job Description

Field Reimbursement Manager educating providers and resolving reimbursement barriers for Johnson & Johnson neuroscience therapies. Managing access support across the Portland, Salem, and Boise territory.

Responsibilities:

  • Serve as the primary field-based lead for education, assistance, and issue resolution with healthcare providers and office staff regarding patient access to J&J Neuroscience therapies
  • Spend up to 50% of time on-site with healthcare providers and staff, assessing education needs and facilitating stakeholder collaboration
  • Educate healthcare providers on reimbursement processes, claims submissions, procedures, and payer coding requirements
  • Collaborate with sales representatives and key account managers as the local access, fulfillment, and reimbursement expert
  • Lead compliant access and fulfillment discussions with field support team members
  • Use data and account management skills to proactively address access barriers
  • Address critical access and affordability issues for patients with urgency and accountability
  • Partner with managed care colleagues to understand current and potential future policies
  • 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 to improve practice and patient support
  • 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, and commercial payer plans
  • Execute business according to ethical, legal, and compliance standards and complete required training

Requirements:

  • Bachelor’s degree required, 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 and identify solutions
  • 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
  • Strong market access and business acumen
  • Understanding of Medicare, Medicaid, and private payer initiatives affecting pharmaceutical and biotechnology product reimbursement
  • Technical knowledge of payer policy, including coding, coverage, and payment preferred
  • Salesforce.com CRM, Microsoft Word, and Excel competence preferred
  • Willingness to learn emerging technologies such as AI
  • Ability to travel up to 75% of the time

Benefits:

  • Consolidated retirement plan (pension)
  • Savings plan (401(k))
  • Long-term incentive program
  • Vacation – 120 hours per calendar year
  • Sick time – 40 hours per calendar year
  • Holiday pay, including Floating Holidays – 13 days per calendar year
  • Work, Personal and Family Time – up to 40 hours per calendar year
  • Parental Leave – 480 hours within one year of the birth/adoption/foster care of a child
  • Bereavement Leave – 240 hours for an immediate family member; 40 hours for an extended family member per calendar year
  • Caregiver Leave – 80 hours in a 52-week rolling period
  • Volunteer Leave – 32 hours per calendar year
  • Military Spouse Time-Off – 80 hours per calendar year