Field Reimbursement Manager – Neuroscience

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

📋 Description

• Act as the main field-based leader for education, support, and problem-solving related to patient access for J&J Neuroscience therapies.

• Provide training to healthcare providers and their staff on reimbursement processes, claims submissions, procedures, and payer coding requirements.

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

• Serve as the local team's expert on access, fulfillment, and reimbursement.

• Lead discussions on compliant access and fulfillment.

• Utilize data and account management skills to proactively identify and address access barriers.

• Tackle critical patient access and affordability challenges with a sense of urgency and accountability.

• Deliver field-based support in reimbursement and access, along with education and innovative problem-solving.

• Foster trust-based relationships with customers in designated accounts.

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

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

• Enhance knowledge of hub and specialty distribution channels.

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

• Conduct business in alignment with ethical, legal, and compliance standards while completing necessary training.

⛳️ Requirements

• A Bachelor's degree, preferably in healthcare or business/public administration.

• At least 5 years of relevant professional experience.

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

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

• Background in reimbursement or relevant managed care, including revenue cycle, buy-and-bill, prior authorization, coding, and appeals processes.

• Comprehensive knowledge of medication access channels.

• Capability to analyze complex quantitative and qualitative data.

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

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

• Excellent written and verbal communication skills, along with efficient follow-through.

• Experience with patient support HUB services.

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

• Permanent residence in the specified territory.

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

• Experience in the neuroscience disease state is preferred.

• An MBA or MPH is preferred.

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

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

🏝️ Benefits

• An inclusive work environment.

• Equal opportunity employment.

• Accommodations during the interview process for applicants with disabilities.

• A field-based work arrangement.

• Opportunities for professional development through learning emerging technologies, such as AI.