Field Reimbursement Manager, Neuroscience – Patient Engagement, Customer Solutions

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

📋 Description

• Act as the main field-based representative for education, support, and resolution of issues concerning patient access to J&J Neuroscience therapies.

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

• Provide education to healthcare professionals on reimbursement procedures, claims submissions, operational protocols, and payer coding requirements.

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

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

• Lead compliant discussions regarding access and fulfillment.

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

• Tackle critical issues related to patient access and affordability.

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

• Establish and nurture relationships with customers within assigned accounts.

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

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

• Enhance practice and patient support through knowledge of hub and specialty distribution channels.

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

• Complete business activities and necessary training in compliance 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 within a provider office environment.

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

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

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

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

• Excellent written and verbal communication skills with efficient 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 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.

• Knowledge of Medicare, Medicaid, and private payer initiatives impacting reimbursement is preferred.

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

• Willingness to explore emerging technologies, including AI.

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

🏝️ Benefits

• Inclusive work environment.

• Equal Opportunity Employer.

• Inclusive interview process and disability accommodations.