Field Reimbursement Manager – Neuroscience, Patient Engagement & Customer Solutions
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Job Description
Field Reimbursement Manager supporting provider reimbursement and patient access for Johnson & Johnson neuroscience therapies. Educating HCPs, resolving coverage barriers, and managing the Edison 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 HCPs and HCP staff, assess education needs, and facilitate stakeholder collaboration
- Educate HCPs 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
- Use data and account management skills to proactively address access barriers
- Address critical patient access and affordability issues with urgency and accountability
- Partner with managed care colleagues regarding current policies and potential changes
- 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
- 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 plans
- Complete business activities according to 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, building strong customer relationship
- Demonstrated expertise with both pharmacy and medical/buy & bill benefit design, coding, billing, prior authorizations, office operations, and appeals processes
- Reimbursement or relevant managed care experience (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 in a timely and efficient manner
- Superior communication skills (written and verbal) and efficient follow-through
- Experience in working with patient support HUB services
- Valid US driver’s license and a driving record in compliance with company standards
- Permanent residence in the listed territory
- Advanced business degree (MBA) or public health (MPH) preferred
- Neuroscience disease state experience preferred
- Advanced degree and/or relevant certifications in prior authorization and/or billing and coding preferred
- Strong market access acumen and business acumen preferred
- Understanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement preferred
- Salesforce.com CRM, Microsoft Word, and Excel preferred
- This role involves traveling up to 75% of the time
Benefits:
- Vacation –120 hours per calendar year
- Sick time - 40 hours per calendar year; for employees who reside in the State of Colorado –48 hours per calendar year; for employees who reside in the State of Washington –56 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 period10 days
- Volunteer Leave – 32 hours per calendar year
- Military Spouse Time-Off – 80 hours per calendar year
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