Field Reimbursement Manager, Neuroscience – Patient Engagement & Customer Solutions

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

📋 Description

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

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

• Collaborate effectively with sales representatives, key account managers, managed care colleagues, and various internal departments.

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

• Facilitate discussions on compliant access and fulfillment strategies.

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

• Address significant patient access and affordability challenges.

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

• Build relationships based on trust with customers in designated accounts.

• Manage logistics, routing, and account business planning within the territory.

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

• Enhance understanding of hub and specialty distribution channels.

• Provide insights on access and affordability solutions across Medicare, Medicaid Managed Care, Commercial, and other payer types.

• Conduct business in alignment with ethical, legal, and compliance standards while completing 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 a provider office environment.

• Proficiency 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.

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

• Proven 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 with 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.

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

• Proficiency in 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

• Inclusive work environment.

• Equal opportunity employment.

• Accommodation support during the interview process.