Field Reimbursement Manager, Neuroscience – Patient Engagement, Customer Solutions

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

📋 Description

• Act as the primary field-based leader for education, support, and issue resolution with healthcare providers and office personnel regarding patient access to J&J Neuroscience therapies.

• Allocate up to 50% of time on-site with healthcare providers and their staff, identifying educational needs and promoting collaboration among stakeholders.

• Inform healthcare providers about reimbursement processes, claims submissions, procedures, and payer coding requirements.

• Collaborate with sales representatives, key account managers, managed care colleagues, and other members of the field support team.

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

• Facilitate compliant discussions on access and fulfillment.

• Employ data and account management skills to proactively tackle access barriers.

• Address urgent patient access and affordability challenges with accountability.

• Provide field-based reimbursement and access support, education, and innovative problem-solving in accordance with FRM Rules of Engagement.

• Develop trust-based relationships with customers in assigned accounts.

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

• Stay informed about national, regional, local, and account market dynamics, including coverage and coding requirements.

• Enhance understanding of hub and specialty distribution channels to better support practices and patients.

• Collaborate with internal J&J departments such as marketing, sales, medical science, SCG, IBG, HCC, and PECS.

• Serve as a subject matter expert on access and affordability solutions across Medicare, Medicaid Managed Care, Commercial, and other payer types.

• Conduct business ethically, adhering to legal and compliance standards while completing necessary 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 in 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.

• Background in reimbursement or managed care (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 provide timely solutions.

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

• Experience with patient support HUB services.

• Valid U.S. driver's license and a driving record that meets company standards.

• Permanent residence in the designated territory.

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

• Ability to analyze highly complex quantitative and qualitative data.

• Capability to stay updated on and anticipate changes in product coverage, access knowledge, market conditions, and stakeholder practices.

• Adaptability to the evolving healthcare ecosystem.

• Preferably, experience in neuroscience disease states.

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

• Understanding of Medicare, Medicaid, and private payer initiatives that affect pharmaceutical and biotechnology product reimbursement is preferred.

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

• Commitment to learning about emerging technologies such as AI.

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

🏝️ Benefits

• Vacation – 120 hours per calendar year.

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

• Up to 75% travel related to the field-based role.

• Inclusive interview accommodations for applicants with disabilities.