Field Reimbursement Manager – Neuroscience, Patient Engagement, Customer Solutions

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

📋 Description

• Act as the primary field-based leader for education, support, and issue resolution with healthcare providers and their office staff regarding patient access to J&J Neuroscience therapies.

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

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

• Work closely with sales representatives and key account managers as the local expert in access, fulfillment, and reimbursement.

• Guide compliant access and fulfillment discussions with members of the field support team.

• Utilize data and account management expertise to proactively tackle access barriers.

• Address urgent access and affordability challenges for patients with a sense of urgency and accountability.

• Collaborate with managed care colleagues to comprehend current and potential future policies.

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

• Cultivate 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.

• Enhance understanding of hub and specialty distribution channels to bolster practice and patient support.

• Collaborate with internal J&J departments, including marketing, sales, medical science, SCG, IBG, HCC, and PECS.

• Function as the subject matter expert on access and affordability solutions across Medicare, Medicaid Managed Care, and commercial payer plans.

• Conduct business in accordance with ethical, legal, and compliance standards and complete all required training.

⛳️ Requirements

• A Bachelor’s degree is mandatory, preferably in healthcare or business/public administration.

• At least 5 years of relevant professional experience is required.

• 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.

• Relevant experience 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 scenarios and devise solutions.

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

• Experience with patient support HUB services is preferred.

• A valid US driver’s license and a driving record that complies with company standards are necessary.

• Permanent residency in the specified territory is required.

• Experience with neuroscience disease states is preferred.

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

• Strong market access and business acumen are essential.

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

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

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

• Willingness to learn about emerging technologies such as AI is required.

• Ability to travel up to 75% of the time is necessary.

🏝️ 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.