Field Reimbursement Manager, Neuroscience – Patient Engagement & Customer Solutions

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

📋 Description

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

• Allocate up to 50% of time engaging directly with healthcare providers and their staff.

• Provide education to healthcare professionals on reimbursement procedures, claims submissions, policies, and payer coding standards.

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

• Facilitate compliant discussions regarding access and fulfillment.

• Utilize data and account management expertise to tackle access challenges.

• Address significant patient access and affordability concerns.

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

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

• Oversee territory logistics, routing, and business planning for accounts.

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

• Enhance knowledge of hub and specialty distribution channels.

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

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

⛳️ Requirements

• Bachelor’s degree, ideally in healthcare or business/public administration.

• Minimum of 5 years of pertinent professional experience.

• Experience in Account Management and/or Reimbursement in a provider office environment.

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

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

• Familiarity with patient support HUB services.

• 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 skills with efficient follow-up.

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

• Permanent residence within the specified territory.

• Advanced business degree (MBA) or public health degree (MPH) is preferred.

• Experience in neuroscience disease states is preferred.

• 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 reimbursement is preferred.

• Proficiency in Salesforce.com CRM, Microsoft Word, and Excel is preferred.

• Ability to learn and implement emerging technologies such as AI is preferred.

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

🏝️ Benefits

• Equal Opportunity Employer.

• Inclusive interview process and accommodations for disabilities.

• Field-based work arrangement.

• Details regarding travel reimbursement or additional compensation are not specified.