Field Reimbursement Manager – Neuroscience

This is a fully remote position, open to applicants in California.

📋 Description

• Act as the primary field-based leader for education, assistance, and resolution of issues concerning patient access to J&J Neuroscience therapies.

• Allocate up to 50% of time on-site with healthcare providers and staff to evaluate educational needs and encourage collaboration among stakeholders.

• Instruct healthcare providers on reimbursement processes, claims submissions, procedures, and payer coding guidelines.

• Collaborate with sales representatives, key account managers, managed care colleagues, and internal departments within J&J.

• Lead discussions on compliant access and fulfillment.

• Utilize data and account management skills to overcome access barriers.

• Address significant patient access and affordability challenges.

• Offer field-based reimbursement and access support, education, and solutions to problems.

• Cultivate relationships with customers in designated accounts.

• Oversee territory logistics, routing, and strategic account planning.

• Keep abreast of market dynamics, coverage, and coding requirements.

• Enhance practice and patient support through knowledge of hub and specialty distribution channels.

• Act as a subject matter expert on access and affordability solutions across various payer types.

• Conduct business in adherence to ethical, legal, and compliance standards.

⛳️ Requirements

• Bachelor’s degree, ideally in healthcare or business/public administration.

• At least 5 years of pertinent professional experience.

• Experience in Account Management and/or Reimbursement in a provider office environment.

• Proficiency in pharmacy and medical/buy & bill benefit design, coding, billing, prior authorizations, office operations, and appeals processes.

• Background in reimbursement or managed care is necessary.

• Capability to build relationships, collaborate, and influence within a matrix organization.

• Strong problem-solving skills to navigate complex access situations.

• Excellent written and verbal communication abilities.

• Experience with patient support HUB services is beneficial.

• Valid US driver’s license and a driving record that meets company standards.

• Permanent residency in the specified territory.

• Preferred experience in neuroscience disease states.

• Advanced degree and/or relevant certifications in prior authorization and/or billing and coding are preferred.

• Familiarity with Medicare, Medicaid, and private payer initiatives impacting reimbursement is advantageous.

• Proficiency in Salesforce.com CRM, Microsoft Word, and Excel is preferred.

• Openness to learning new technologies, including AI.

• Willingness to travel up to 75% of the time.

🏝️ Benefits

• Inclusive work environment.

• Equal employment opportunity.

• Accommodations for disability and interview processes.