Field Reimbursement Manager, Neuroscience – Patient Engagement & Customer Solutions

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

📋 Description

• Act as the principal field lead for education, support, and issue resolution with healthcare providers and their office staff concerning patient access to J&J Neuroscience therapies.

• Spend up to 50% of your time on-site with healthcare professionals (HCPs) and their staff.

• Evaluate educational needs and promote collaboration with stakeholders.

• Provide training to HCPs 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 compliant discussions about access and fulfillment.

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

• Address significant issues related to patient access and affordability.

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

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

• Cultivate trust-based relationships within assigned accounts.

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

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

• Enhance knowledge of hub and specialty distribution channels.

• Work in conjunction with internal J&J departments, including 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.

• Complete assignments in alignment with ethical, legal, and compliance standards and required training.

• Travel up to 75% of the time.

⛳️ 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 the provider office environment.

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

• Experience in reimbursement or relevant managed care, including 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 develop timely, efficient solutions.

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

• Familiarity with patient support HUB services.

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

• Permanent residence in the designated territory.

• Experience in neuroscience disease states is preferred.

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

• Strong market access and business acumen is preferred.

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

• Technical knowledge of payer policy, including coding, coverage, and payment is preferred.

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

• Commitment to learning about emerging technologies such as AI.

🏝️ Benefits

• Inclusive work environment.

• Equal Opportunity Employer.

• Inclusive interview process and accommodation support.