Field Reimbursement Manager, Neuroscience – Patient Engagement, Customer Solutions

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

📋 Description

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

• Dedicate up to 50% of time on-site with healthcare providers and their staff.

• Evaluate HCP education needs and promote collaboration with stakeholders.

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

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

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

• Initiate compliant discussions regarding access and fulfillment.

• Utilize data and account management skills to overcome access barriers.

• Tackle critical patient access and affordability challenges.

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

• Cultivate relationships with customers within assigned accounts.

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

• Stay informed on 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 Medicare, Medicaid Managed Care, and commercial plans.

• Complete necessary training and conduct business in accordance with ethical, legal, and compliance standards.

⛳️ Requirements

• Bachelor’s degree, ideally 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 environment.

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

• Background in reimbursement or relevant managed care, including revenue cycle, buy-and-bill, prior authorization, coding, and appeals processes.

• Experience with patient support HUB services.

• Ability to forge relationships, collaborate, and influence within a matrix organization.

• Problem-solving skills to navigate complex access situations.

• Exceptional written and verbal communication skills with efficient follow-through.

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

• Permanent residence within the specified territory.

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

• Experience in neuroscience disease states is preferred.

• 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 affecting pharmaceutical and biotechnology reimbursement is preferred.

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

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

• Commitment to staying abreast of emerging technologies, such as AI.

🏝️ Benefits

• Equal Opportunity Employer.

• Inclusive interview process and accommodations for disabilities.

• Field-based work arrangement.

• Full-time employment.