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 issue resolution concerning patient access to J&J Neuroscience therapies.

• Allocate up to 50% of your time on-site working with healthcare providers and office personnel.

• Inform healthcare professionals about reimbursement procedures, claims submissions, protocols, and payer coding requirements.

• Partner with sales representatives, key account managers, managed care colleagues, and other internal departments at J&J.

• Function as the local team's expert in access, fulfillment, and reimbursement.

• Conduct compliant discussions regarding access and fulfillment.

• Utilize data and account management expertise to proactively tackle access barriers.

• Address significant patient access and affordability challenges.

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

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

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

• Keep abreast of market dynamics, coverage, and coding requirements.

• Enhance understanding of hub and specialty distribution channels.

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

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

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

• Capability to build relationships, collaborate, and influence across a matrix organization.

• Strong problem-solving skills to navigate complex access scenarios.

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

• Experience with patient support HUB services.

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

• Permanent residence within the specified territory.

• Experience in neuroscience disease states is preferred.

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

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

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

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

🏝️ Benefits

• Consolidated retirement plan (pension).

• Savings plan (401(k)).

• Long-term incentive program.

• Vacation – 120 hours per calendar year.

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

• 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 each calendar year.

• Caregiver Leave – 80 hours within 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 accommodations for disabilities.