Field Reimbursement Manager, Neuroscience – Patient Engagement & Customer Solutions

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

📋 Description

• Act as the main field-based leader for education, support, and problem-solving with healthcare providers and their staff regarding patient access to J&J Neuroscience therapies.

• Allocate up to 50% of your time on-site with healthcare providers and staff to assess educational needs and foster collaboration among stakeholders.

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

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

• Function as the local expert in access, fulfillment, and reimbursement matters.

• Lead discussions focused on compliant access and fulfillment.

• Employ data and account management expertise to tackle access barriers and address critical access and affordability challenges.

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

• Establish trust-based relationships with clients in assigned accounts.

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

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

• Enhance your 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.

• Execute 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.

• A minimum of 5 years of pertinent professional experience.

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

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

• Relevant experience in reimbursement or managed care.

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

• Strong problem-solving skills to effectively navigate challenging access scenarios.

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

• Experience with patient support HUB services.

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

• Permanent residence within the designated territory.

• Experience with neuroscience disease states is preferred.

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

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

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

• This position requires travel up to 75% of the time.

🏝️ Benefits

• Consolidated retirement plan (pension).

• Savings plan (401(k)).

• 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.

• Equal Opportunity Employer.

• Inclusive interview process and reasonable accommodation support.