Field Reimbursement Manager, Neuroscience – Patient Engagement & Customer Solutions

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

📋 Description

• Act as the main field-based leader for education, support, and issue resolution related to patient access for J&J Neuroscience therapies.

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

• Provide education to healthcare professionals on reimbursement processes, claims submissions, procedures, and payer coding guidelines.

• Work collaboratively with sales representatives, key account managers, managed care teams, and internal J&J departments.

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

• Facilitate compliant discussions on access and fulfillment.

• Utilize data and account management expertise to overcome access obstacles.

• Tackle significant patient access and affordability challenges.

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

• Cultivate trust-based relationships across 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.

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

• Fulfill training requirements and conduct business in alignment with ethical, legal, and compliance standards.

• Be prepared to travel up to 75% of the time.

⛳️ 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.

• 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 identify effective solutions.

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

• Familiarity with patient support HUB services.

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

• Permanent residence within the designated territory.

• Preferred experience in neuroscience disease states.

• 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 impacting pharmaceutical and biotechnology reimbursement is preferred.

• Technical knowledge of payer policies and reimbursement is preferred.

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

• Commitment to learning about emerging technologies such as AI.

🏝️ Benefits

• Eligibility for long-term incentive programs.

• Vacation entitlement of 120 hours per calendar year.

• Sick leave of 40 hours per calendar year; Colorado residents receive 48 hours; Washington residents receive 56 hours.

• Holiday pay, including 13 days of Floating Holidays per calendar year.

• Up to 40 hours per calendar year for Work, Personal, and Family Time.

• Parental Leave of 480 hours within one year of the birth/adoption/foster care of a child.

• Bereavement Leave of 240 hours for an immediate family member; 40 hours for an extended family member per calendar year.

• Caregiver Leave of 80 hours within a 52-week rolling period.

• Volunteer Leave of 32 hours per calendar year.

• Military Spouse Time-Off of 80 hours per calendar year.

• Inclusive interview process for applicants and accommodations for disabilities.