Field Reimbursement Manager, Neuroscience – Patient Engagement & Customer Solutions

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

📋 Description

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

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

• Inform healthcare professionals about reimbursement processes, claims submissions, procedures, and payer coding requirements.

• Collaborate with sales representatives, key account managers, managed care colleagues, and internal J&J teams.

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

• Facilitate compliant discussions regarding access and fulfillment.

• Utilize data and account management skills to proactively tackle access challenges.

• Address significant access and affordability concerns for patients.

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

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

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

• Maintain an understanding of market dynamics, coverage, and coding requirements.

• Acquire knowledge of hub and specialty distribution channels.

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

• Carry out business activities in compliance with ethical, legal, and training 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.

• Relevant experience in reimbursement or managed care, including 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 propose timely, effective solutions.

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

• Experience with patient support HUB services.

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

• Permanent residence within the specified territory.

• Experience in neuroscience disease states is preferred.

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

• Solid understanding of market access and business acumen is preferred.

• Familiarity with Medicare, Medicaid, and private payer initiatives affecting pharmaceutical and biotechnology product reimbursement is preferred.

• Technical expertise in 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.