National Field Reimbursement Manager, Neuroscience – Patient Engagement & Customer Solutions

This is a fully remote position, open to applicants in New Jersey, +5 more states.

📋 Description

• Act as the primary field-based leader 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 corporate clients, healthcare providers, and office personnel.

• Evaluate educational requirements and promote collaboration among essential stakeholders.

• Formulate strategic plans based on corporate access and reimbursement processes, objectives, and obstacles.

• Provide education to stakeholders on reimbursement procedures, claims submissions, and payer coding standards.

• Collaborate with key account managers and field reimbursement managers on a national scale.

• Function as an access, fulfillment, and reimbursement authority for designated accounts.

• Guide compliant discussions related to access and fulfillment.

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

• Address urgent access and affordability concerns for patients.

• Partner with managed care colleagues regarding existing policies and potential future modifications.

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

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

• Oversee account engagement logistics, routing, and business strategy.

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

• Enhance understanding of hub and specialty distribution channels.

• Collaborate with internal J&J departments and act as a subject matter expert on access and affordability solutions.

• Conduct business in accordance with ethical, legal, and compliance standards and complete all necessary training.

⛳️ Requirements

• Bachelor's degree (ideally in healthcare or business/public administration).

• A minimum of 5 years of pertinent professional experience.

• Experience in Account Management and/or Reimbursement within a provider office environment, establishing robust customer relationships.

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

• Relevant experience in reimbursement or managed care, encompassing revenue cycle, buy-and-bill, prior authorization, coding, and appeals processes.

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

• Problem-solving skills to navigate complex access situations and identify timely solutions efficiently.

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

• Experience with patient support HUB services.

• Valid U.S. driver's license and a driving record that complies with company standards.

• Willingness to travel up to 50%.

• Experience with neuroscience disease states is preferred.

• An advanced degree and/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 impacting pharmaceutical and biotechnology reimbursement is preferred.

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

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

🏝️ Benefits

• Eligibility for long-term incentive program.

• Vacation entitlement of 120 hours per calendar year.

• Sick leave of 40 hours per calendar year; 48 hours for employees in Colorado; and 56 hours for employees in Washington.

• Holiday pay, inclusive of Floating Holidays – 13 days per calendar year.

• Work, Personal, and Family Time – up to 40 hours per calendar year.

• Parental Leave – 480 hours within one year of the birth/adoption/foster care of a child.

• Bereavement Leave – 240 hours for an immediate family member; 40 hours for an extended family member per calendar year.

• Caregiver Leave – 80 hours within a 52-week rolling period.

• Volunteer Leave – 32 hours per calendar year.

• Military Spouse Time-Off – 80 hours per calendar year.