Field Reimbursement Manager, Neuroscience – Patient Engagement & Customer Solutions

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

📋 Description

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

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

• Educate 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.

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

• Facilitate compliant discussions on access and fulfillment.

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

• Address significant patient access and affordability challenges.

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

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

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

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

• Acquire knowledge of hub and specialty distribution channels.

• Provide subject matter expertise on access and affordability solutions across Medicare, Medicaid Managed Care, and commercial plans.

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

⛳️ Requirements

• 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 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, including revenue cycle, buy-and-bill, prior authorization, coding, and appeals processes.

• Capability to forge relationships, collaborate, and influence across a matrix organization.

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

• Exceptional written and verbal communication abilities and efficient follow-through.

• Experience engaging with patient support HUB services.

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

• Permanent residence within the designated territory.

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

• Experience in 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.

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

• Commitment to embracing emerging technologies such as AI.

🏝️ 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; 48 hours for employees residing in Colorado; 56 hours for employees residing in Washington.

• 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 accommodation support.