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 for J&J Neuroscience therapies.

• Allocate up to 50% of work hours on-site with healthcare providers and their office personnel.

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

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

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

• Facilitate compliant discussions about access and fulfillment with field support teams.

• Employ data and account management expertise to proactively tackle access obstacles.

• Tackle critical issues related to patient access and affordability with promptness and accountability.

• Collaborate with managed care colleagues on existing policies and potential future modifications.

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

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

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

• Keep abreast of market dynamics, coverage, and coding requirements.

• Acquire knowledge about hub and specialty distribution channels.

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

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

• Conduct business in accordance with ethical, legal, and compliance standards while completing all 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 within the provider office environment.

• 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.

• Problem-solving skills to address complex access challenges.

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

• Experience with patient support HUB services.

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

• Permanent residency in the designated territory.

• 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.

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

• Proven competence with Salesforce.com CRM, Microsoft Word, and Excel.

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

🏝️ Benefits

• Field-based work arrangement.

• Full-time employment.

• Equal opportunity employment.

• Inclusive interview process and accommodations for disabilities.