Field Reimbursement Manager, Neuroscience – Patient Engagement & Customer Solutions

This is a fully remote position, open to applicants in Kentucky, +2 more states.

📋 Description

• Act as the primary lead in the field for education, support, and resolution of issues related to patient access to J&J Neuroscience therapies.

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

• Evaluate the educational needs of healthcare providers (HCPs) and promote collaboration with relevant stakeholders.

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

• Work in conjunction with sales representatives, key account managers, and field support teams.

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

• Lead discussions on compliant access and fulfillment.

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

• Address significant issues related to patient access and affordability.

• Collaborate with managed care colleagues regarding current policies and potential modifications.

• Conduct field-based support for reimbursement and access, education, and problem-solving.

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

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

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

• Develop familiarity with hub and specialty distribution channels.

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

• Serve as a subject matter expert on access and affordability solutions across Medicare, Medicaid Managed Care, Commercial, and other payer types.

• Execute business activities in alignment with ethical, legal, and compliance standards along with 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 a provider office setting, establishing robust customer relationships.

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

• Experience in reimbursement or managed care, encompassing revenue cycle, buy-and-bill, prior authorization, coding, and appeals processes.

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

• Strong problem-solving skills to navigate complex access scenarios and identify timely and effective solutions.

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

• Experience with patient support HUB services.

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

• Permanent residency in the specified territory.

• In-depth knowledge of medication access channels, including pharmacy and medical benefits, buy & bill, and/or assignment of benefit (AOB).

• Ability to analyze complex quantitative and qualitative data.

• Capacity to stay updated and anticipate changes in product coverage, access knowledge, marketplace conditions, and stakeholder practices.

• Ability to comprehend and adapt to the evolving healthcare landscape.

• Experience in the neuroscience disease state 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 preferred.

• Understanding of Medicare, Medicaid, and private payer initiatives that affect reimbursement for pharmaceutical and biotechnology products is preferred.

• Technical knowledge of payer policy, 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

• Equal Opportunity Employer.

• Inclusive interview process and accommodation support for applicants with disabilities.

• Field-based work arrangement.

• No commission (Job Sub Function: Sales – Pharm (No Commission)).