Field Reimbursement Manager, Neuroscience – Patient Engagement & Customer Solutions

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

📋 Description

• Act as the main on-site lead for education, support, and issue resolution regarding patient access to J&J Neuroscience therapies.

• Allocate up to 50% of your working hours interacting directly with healthcare providers and their personnel.

• Provide education to healthcare providers on reimbursement procedures, claims submissions, operational procedures, and payer coding requirements.

• Collaborate with sales representatives, key account managers, managed care colleagues, and other relevant stakeholders.

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

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

• Address significant patient access and affordability concerns.

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

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

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

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

• Gain knowledge about hub and specialty distribution channels.

• Work in conjunction with internal J&J departments including 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, Commercial, and various other payer types.

• Carry out business activities in line 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 with pharmacy and medical/buy & bill benefit design, coding, billing, prior authorizations, office operations, and appeals processes.

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

• Extensive understanding of medication access channels, encompassing pharmacy and medical benefits.

• Capability to analyze complex quantitative and qualitative data.

• Skill in building relationships, collaborating, and influencing across a matrix organization.

• Problem-solving aptitude to navigate complex access scenarios.

• 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 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 is an advantage.

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

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

• Openness to learning emerging technologies such as AI.

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

🏝️ Benefits

• Equal Opportunity Employer.

• Inclusive interview process with accommodation support for applicants with disabilities.

• Field-based work arrangement.

• No commission, as noted by job sub-function.