Field Reimbursement Manager – Neuroscience

This is a fully remote position, open to applicants in Iowa, +3 more states.

📋 Description

• Act as the primary on-site leader for education, support, and resolution of issues concerning patient access to J&J Neuroscience therapies.

• Allocate up to 50% of time working directly with healthcare providers and their teams to evaluate educational needs and foster collaboration among stakeholders.

• Provide education to healthcare professionals on reimbursement processes, claims submissions, procedures, and payer coding requirements.

• Work in partnership with sales representatives, key account managers, managed care colleagues, and various internal J&J departments.

• Facilitate discussions focused on compliant access and fulfillment.

• Leverage data and account management expertise to tackle access barriers and significant issues related to access and affordability.

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

• Cultivate trust-based relationships with customers within assigned accounts.

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

• Stay informed about market dynamics, coverage options, and coding requirements.

• Gain a comprehensive understanding of hub and specialty distribution channels.

• Serve as a subject matter expert on access and affordability solutions across Medicare, Medicaid Managed Care, and commercial plans.

• Conduct business activities in alignment with ethical, legal, compliance, and training standards.

⛳️ Requirements

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

• At least 5 years of relevant professional experience.

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

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

• Background in reimbursement or managed care is preferred.

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

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

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

• Experience collaborating with patient support HUB services.

• Possession of a valid US driver’s license and a driving record that meets company standards.

• Permanent residency within the designated territory.

• Experience in neuroscience disease states is preferred.

• An advanced degree and/or relevant certifications in prior authorization and/or billing and coding are advantageous.

• Familiarity with Medicare, Medicaid, and private payer initiatives that impact reimbursement is preferred.

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

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

🏝️ Benefits

• Eligibility for long-term incentive programs.

• Vacation entitlement of 120 hours per calendar year.

• Sick leave of 40 hours per calendar year; employees residing in Colorado are entitled to 48 hours, while those in Washington receive 56 hours.

• Holiday pay, including Floating Holidays, amounting to 13 days per calendar year.

• Up to 40 hours of Work, Personal, and Family Time per calendar year.

• Parental Leave of 480 hours within one year following the birth, adoption, or foster care placement of a child.

• Bereavement Leave of 240 hours for an immediate family member and 40 hours for an extended family member per calendar year.

• Caregiver Leave of 80 hours within a 52-week rolling period.

• Volunteer Leave of 32 hours per calendar year.

• Military Spouse Time-Off of 80 hours per calendar year.