Field Reimbursement Manager, Neuroscience – Patient Engagement & Customer Solutions

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

📋 Description

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

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

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

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

• Facilitate compliant access and fulfillment dialogues with field support teams.

• Leverage data and account management skills to proactively tackle access obstacles.

• Address significant patient access and affordability challenges.

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

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

• Establish trust-based relationships with customers across assigned accounts.

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

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

• Gain knowledge of hub and specialty distribution channels.

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

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

• Execute business activities in alignment with ethical, legal, and compliance standards as well as required training.

⛳️ 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.

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

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

• Extensive understanding of medication access channels, including pharmacy and medical benefits, buy & bill, and/or assignment of benefit (AOB).

• Capability to analyze complex quantitative and qualitative data.

• Experience in account management and reimbursement.

• Familiarity with patient support HUB services.

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

• Problem-solving skills to navigate challenging access scenarios.

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

• Valid US driver’s license and a driving record compliant with company standards.

• Permanent residency in the specified territory.

• Experience in 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 preferred.

• Understanding of Medicare, Medicaid, and private payer initiatives is preferred.

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

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

• Willingness to learn about emerging technologies such as AI.

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

🏝️ Benefits

• Consolidated retirement plan (pension).

• Savings plan (401(k)).

• 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.

• Inclusive interview process and accommodations for applicants with disabilities.