Field Reimbursement Manager, Neuroscience – Patient Engagement & Customer Solutions

Posted 5 days ago

This is a fully remote position, open to applicants in Michigan.

📋 Description

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

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

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

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

• Facilitate compliant discussions regarding access and fulfillment.

• Analyze data and account information to proactively identify and address access barriers.

• Tackle critical issues related to patient access and affordability.

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

• Develop trust-based relationships with clients in assigned accounts.

• Oversee territory logistics, routing, and business planning for accounts.

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

• Enhance practice and patient support by leveraging knowledge of hub and specialty distribution channels.

• Act as a subject matter expert on access and affordability solutions across various payer types and plans.

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


⛳️ Requirements

• Bachelor’s degree (preferably in healthcare or business/public administration).

• At least 5 years of pertinent professional experience.

• Experience in Account Management and/or Reimbursement within a provider office setting.

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

• Background in reimbursement or relevant managed care.

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

• Strong problem-solving skills to navigate complex access scenarios.

• Excellent written and verbal communication abilities along with efficient follow-through.

• Experience with patient support HUB services.

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

• Permanent residency 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.

• Knowledge of Medicare, Medicaid, and private payer initiatives impacting reimbursement is preferred.

• Proficiency in Salesforce.com CRM, Microsoft Word, and Excel is preferred.

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


🏝️ Benefits

• Inclusive work environment.

• Equal employment opportunity.

• Inclusive interview process along with reasonable accommodation support.

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