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 main field-based leader for education, support, and resolution of issues related to patient access to J&J Neuroscience therapies.

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

• Evaluate the educational needs of healthcare providers (HCPs) and promote collaboration with relevant stakeholders.

• Provide training to HCPs on reimbursement practices, claims submission, procedures, and payer coding requirements.

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

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

• Lead discussions focused on compliant access and fulfillment.

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

• Tackle urgent patient access and affordability concerns.

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

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

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

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

• Gain knowledge about hub and specialty distribution channels.

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

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

⛳️ 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 in a provider office environment.

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

• Experience in reimbursement or relevant 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 situations.

• Excellent written and verbal communication skills with effective follow-through.

• Familiarity with patient support HUB services.

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

• Permanent residency in the designated territory.

• Experience in the neuroscience disease state is preferred.

• Advanced degree and/or relevant certifications in prior authorization and/or billing and coding are preferred.

• Strong market access and business insight.

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

• Technical understanding of payer policies, coding, coverage, and payment is preferred.

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

• Commitment to embracing emerging technologies such as AI.

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

🏝️ Benefits

• Retirement plan (pension).

• Savings plan (401(k)).

• Vacation – 120 hours per calendar year.

• Sick time – 40 hours per calendar year.

• 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 52-week rolling period.

• Volunteer Leave – 32 hours per calendar year.

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

• Inclusive interview process and disability accommodations.