Field Reimbursement Manager, Neuroscience – Patient Engagement & Customer Solutions

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

📋 Description

• Act as the primary field-based leader for education, support, and problem-solving for healthcare providers and office personnel concerning patient access to J&J Neuroscience therapies.

• Allocate up to 50% of your time on-site with healthcare providers and staff to evaluate educational needs and encourage stakeholder collaboration.

• Provide education to HCPs regarding reimbursement procedures, claims submissions, processes, and payer coding requirements.

• Work alongside sales representatives, key account managers, and field support teams as the local expert in access, fulfillment, and reimbursement.

• Facilitate compliant discussions on access and fulfillment.

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

• Respond with urgency and accountability to critical patient access and affordability concerns.

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

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

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

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

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

• Enhance understanding of hub and specialty distribution channels.

• Collaborate 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 other payer types.

• Conduct business in accordance with ethical, legal, and compliance standards and complete necessary training.

• Travel up to 75% of the time.

⛳️ Requirements

• A 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 setting, fostering strong customer relationships.

• Proven expertise 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.

• Problem-solving skills to navigate complex access scenarios and develop timely and effective solutions.

• Excellent written and verbal communication skills with efficient follow-up.

• Experience with patient support HUB services.

• A valid US driver’s license and a driving record meeting company standards.

• Permanent residence in the specified territory.

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

• Capacity to analyze complex quantitative and qualitative data.

• Ability to stay current on product coverage, access knowledge, market conditions, and stakeholder practices.

• Adaptability to the evolving healthcare landscape.

• Preferred: experience in neuroscience disease states.

• Preferred: advanced degree and/or relevant certifications in prior authorization and/or billing and coding.

• Strong market access and business acumen.

• Understanding of Medicare, Medicaid, and private payer initiatives impacting pharmaceutical and biotechnology reimbursement.

• Preferred: technical knowledge of payer policy, including coding, coverage, and payment.

• Preferred: proficiency in Salesforce.com CRM, Microsoft Word, and Excel.

• Commitment to embracing emerging technologies such as AI.

🏝️ Benefits

• Vacation – 120 hours per calendar year.

• Sick time – 40 hours per calendar year; 48 hours per calendar year for employees residing in Colorado; 56 hours per calendar year for employees residing in Washington.

• 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 rolling 52-week period.

• Volunteer Leave – 32 hours per calendar year.

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

• Field-based work arrangement.

• Equal opportunity and inclusive interview accommodations.