Field Reimbursement Manager – Neuroscience

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

📋 Description

• Act as the primary field lead for education, assistance, and issue resolution concerning patient access to J&J Neuroscience therapies.

• Allocate up to 50% of your time on-site with healthcare providers and their office teams.

• Evaluate the educational needs of healthcare providers and promote collaboration with relevant stakeholders.

• Provide education to healthcare providers on reimbursement protocols, claims submissions, procedures, and payer coding guidelines.

• Work in conjunction with sales representatives, key account managers, and field support teams.

• Facilitate compliant discussions on access and fulfillment.

• Proactively tackle access obstacles using data and account management expertise.

• Address critical issues related to patient access and affordability.

• Collaborate with managed care colleagues regarding existing and upcoming policies.

• Deliver field-based reimbursement and access support, education, and problem-solving.

• Establish trust-based relationships within assigned accounts.

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

• Stay informed on market dynamics, coverage, and coding requirements.

• Gain knowledge of hub and specialty distribution channels.

• Collaborate with internal J&J departments, including marketing, sales, medical science, SCG, IBG, HCC, and PECS.

• Act as a subject matter expert on access and affordability solutions across Medicare, Medicaid Managed Care, Commercial, and other payer types.

• Complete business activities in line with ethical, legal, and compliance standards and required training.

⛳️ Requirements

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

• A minimum of 5 years of pertinent professional experience.

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

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

• Experience in reimbursement or relevant managed care.

• Ability to forge relationships, collaborate, and influence within a matrix organization.

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

• Excellent written and verbal communication skills with effective follow-through.

• Experience with patient support HUB services.

• A valid US driver’s license and driving record that meets company standards.

• Permanent residency within the specified territory.

• In-depth knowledge of medication access channels.

• Capability to analyze complex quantitative and qualitative data.

• Familiarity with product coverage, access, marketplace conditions, and stakeholder practices.

• Adaptability to the evolving healthcare ecosystem.

• Preferred: MBA or MPH.

• Preferred: Experience in neuroscience disease states.

• Preferred: Advanced degree and/or relevant certifications in prior authorization and/or billing and coding.

• Preferred: Knowledge of market access and payer approval, including Medicare, Medicaid, and private payer initiatives.

• Preferred: Experience with Salesforce.com CRM, Microsoft Word, and Excel.

• Demonstrated commitment to learning new technologies such as AI.

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

🏝️ Benefits

• Equal Opportunity Employer.

• Inclusive interview process with accommodation support for applicants with disabilities.

• Field-based work arrangement.

• No commission (job sub-function: Sales – Pharm (No Commission)).