Field Reimbursement Manager, Neuroscience – Patient Engagement, Customer Solutions

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

📋 Description

• Act as the primary field leader for education, support, and resolution of issues concerning patient access to J&J Neuroscience therapies.

• Allocate up to 50% of your time working directly with healthcare providers and their office teams.

• Evaluate educational requirements and promote collaboration with relevant stakeholders.

• Inform healthcare providers about reimbursement processes, claims submissions, procedures, and payer coding standards.

• 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 skills to overcome access obstacles.

• Tackle significant patient access and affordability challenges.

• Collaborate with managed care colleagues on current and upcoming policies.

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

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

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

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

• Enhance knowledge of hub and specialty distribution channels.

• Partner with internal J&J departments including marketing, sales, medical science, SCG, IBG, HCC, and PECS.

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

• Conduct business activities in accordance with ethical, legal, and compliance standards, along with necessary training.

⛳️ 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.

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

• Experience in reimbursement or managed care environments.

• Skill in building relationships, collaborating, and influencing across a matrix organization.

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

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

• Experience with patient support HUB services.

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

• Permanent residence within the specified territory.

• Preferred experience in neuroscience disease states.

• Preferred advanced degree and/or relevant certifications in prior authorization and/or billing and coding.

• Preferred understanding of Medicare, Medicaid, and private payer initiatives that impact reimbursement.

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

• Eagerness to learn about emerging technologies such as AI.

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

🏝️ Benefits

• Inclusive work environment.

• Equal opportunity employment.

• Accommodation in the interview process for applicants with disabilities.

• Field-based work arrangement.

• Travel reimbursement or additional travel benefits are not explicitly stated.