Field Reimbursement Manager, Neuroscience – Patient Engagement & Customer Solutions

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

📋 Description

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

• Allocate up to 50% of time working directly with healthcare providers and their staff.

• Provide guidance to healthcare providers 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 authority on access, fulfillment, and reimbursement.

• Facilitate compliant discussions on access and fulfillment.

• Leverage data and account management skills to proactively identify and address access challenges.

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

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

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

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

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

• Gain 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 and complete all required 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 managed care, including revenue cycle, buy-and-bill, prior authorization, coding, and appeals processes.

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

• Strong problem-solving skills to navigate complex access situations and devise timely, efficient solutions.

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

• Familiarity with patient support HUB services.

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

• Permanent residency within the specified territory.

• Comprehensive understanding of medication access channels, encompassing pharmacy and medical benefits, buy & bill, and/or assignment of benefit.

• Ability to analyze complex quantitative and qualitative data.

• Preferably a Bachelor’s degree in healthcare or business/public administration; an MBA or MPH is a plus.

• Preferred experience in neuroscience disease states.

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

• Knowledge of Medicare, Medicaid, and private payer initiatives impacting pharmaceutical and biotechnology reimbursement is preferred.

• Technical expertise in payer policy, coding, coverage, and payment is preferred.

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

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

🏝️ Benefits

• Eligibility for long-term incentive programs.

• Vacation entitlement of 120 hours per calendar year.

• Sick time of 40 hours per calendar year; Colorado residents receive 48 hours; Washington residents receive 56 hours.

• Holiday pay, including Floating Holidays, totaling 13 days per calendar year.

• Work, personal, and family time up to 40 hours per calendar year.

• Parental Leave of 480 hours within one year of the birth/adoption/foster care of a child.

• Bereavement Leave of 240 hours for an immediate family member and 40 hours for an extended family member per calendar year.

• Caregiver Leave of 80 hours in a rolling 52-week period.

• Volunteer Leave of 32 hours per calendar year.

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