Field Reimbursement Manager, Neuroscience – Patient Engagement & Customer Solutions

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

📋 Description

• Act as the primary on-site leader for education, support, and problem resolution concerning patient access to J&J Neuroscience therapies.

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

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

• Work alongside sales representatives and key account managers as the local expert in access, fulfillment, and reimbursement.

• Facilitate discussions on compliant access and fulfillment.

• Utilize data and account management expertise to proactively address access challenges.

• Tackle critical patient access and affordability issues with a sense of urgency and responsibility.

• Collaborate with managed care colleagues regarding current and upcoming policy changes.

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

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

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

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

• Expand knowledge of hub and specialty distribution channels.

• Work in partnership 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 plans.

• Carry out business activities in accordance with ethical, legal, and compliance 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 in a provider office environment.

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

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

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

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

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

• Experience in working with patient support HUB services.

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

• Permanent residency in the designated territory.

• Experience with neuroscience disease states is preferred.

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

• Strong market access and business acumen are preferred.

• Familiarity with Medicare, Medicaid, and private payer initiatives is preferred.

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

• Willingness to embrace emerging technologies such as AI.

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

🏝️ Benefits

• Inclusive work environment.

• Equal employment opportunity.

• Inclusive interview process and disability accommodations.