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 lead for education, support, and resolving issues with healthcare providers and office personnel concerning patient access to J&J Neuroscience therapies.

• Allocate up to 50% of time on-site with healthcare professionals (HCPs) and their staff to assess educational needs and facilitate collaboration among stakeholders.

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

• Partner with sales representatives and key account managers as the local expert on access, fulfillment, and reimbursement.

• Lead discussions on compliant access and fulfillment with field support teams.

• Utilize data and account management skills to proactively tackle access obstacles.

• Urgently address critical issues related to patient access and affordability with accountability.

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

• Conduct field-based support, education, and creative problem-solving related to reimbursement and access.

• Establish trust-based relationships with customers within assigned accounts.

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

• Keep up-to-date with market dynamics, coverage, and coding requirements.

• Enhance understanding of hub and specialty distribution channels.

• Work collaboratively with internal J&J departments such as 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, and commercial payer types.

• Complete business activities in alignment with ethical, legal, compliance, and training standards.

⛳️ Requirements

• A Bachelor’s degree (preferably 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, with a focus on building strong customer relationships.

• Proven expertise in pharmacy and medical/buy & bill benefit design, including coding, billing, prior authorizations, office operations, and appeals processes.

• Reimbursement or relevant managed care experience, including revenue cycle, buy-and-bill, prior authorization, coding, and appeals processes.

• Ability to build relationships, collaborate, and exert influence within a matrix organization.

• Strong problem-solving skills to navigate challenging access scenarios and identify timely and effective solutions.

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

• Experience with patient support HUB services.

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

• Permanent residency in the specified territory.

• Preferred experience in neuroscience disease states.

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

• Strong acumen in market access and business principles.

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

• Technical knowledge of payer policies, including coding, coverage, and payment.

• Proficiency with salesforce.com CRM, Microsoft Word, and Excel preferred.

• This position requires travel of 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.

• 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.