Field Reimbursement Manager – Neuroscience

This is a fully remote position, open to applicants in Ohio, +1 more state.

📋 Description

• Act as the main field-based contact for education, assistance, and issue resolution regarding patient access to J&J Neuroscience therapies.

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

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

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

• Facilitate compliant discussions related to access and fulfillment.

• Leverage data and account management skills to address access barriers.

• Tackle critical patient access and affordability challenges.

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

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

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

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

• Enhance understanding of hub and specialty distribution channels.

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

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

⛳️ 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 in a provider office setting.

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

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

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

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

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

• Experience with patient support HUB services.

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

• Permanent residency in the specified territory.

• Experience with neuroscience disease states is preferred.

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

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

• Experience with Salesforce.com CRM, Microsoft Word, and Excel is preferred.

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

🏝️ Benefits

• Consolidated retirement plan (pension).

• Savings plan (401(k)).

• Long-term incentive program.

• Vacation – 120 hours per calendar year.

• Sick time – 40 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 period.

• Volunteer Leave – 32 hours per calendar year.

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

• Inclusive interview process and disability accommodations.