Field Reimbursement Manager – Neuroscience, Patient Engagement & Customer Solutions

atJohnson & JohnsonRemoteUS flagCaliforniaFull-timeCustomer SuccessMid-levelSenior$102k – $177.1k/year

Posted 5 days ago

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

📋 Description

• Act as the primary field lead for education, support, and problem resolution concerning patient access to J&J Neuroscience therapies.

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

• Provide education to HCPs on reimbursement procedures, claims submissions, and payer coding requirements.

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

• Function as an expert in access, fulfillment, and reimbursement for the local team.

• Lead discussions on compliant access and fulfillment practices.

• Utilize data and account management capabilities to overcome access challenges.

• Tackle critical issues related to patient access and affordability.

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

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

• Manage territory logistics, routing, and business planning for accounts.

• Stay informed about 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 various payer types.

• Carry out business activities in line with ethical, legal, and compliance standards along with required training.


⛳️ Requirements

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

• At least 5 years of pertinent 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.

• Experience in reimbursement or relevant managed care roles.

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

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

• Excellent written and verbal communication skills with effective 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 specified territory.

• Experience in neuroscience disease states is preferred.

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

• Strong market access and business acumen is preferred.

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

• Technical understanding of payer policies, including coding, coverage, and payment is preferred.

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

• Commitment to learning about emerging technologies, such as AI.

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


🏝️ Benefits

• Field-based work arrangement.

• Travel reimbursement/support associated with field-based territory travel.

• Equal opportunity employer.

• Inclusive interview process and accommodations for disabilities.

• Employee assistance for accommodation requests.

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