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 representative for education, support, and problem resolution 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 challenges.

• Provide education to stakeholders regarding reimbursement processes, claims submissions, procedures, and payer coding requirements.

• Work in conjunction with key account managers and field reimbursement managers across the nation.

• Act as the expert on access, fulfillment, and reimbursement for assigned accounts.

• Lead compliant discussions on access and fulfillment.

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

• Address significant access and affordability challenges for patients.

• Collaborate with managed care colleagues concerning current and future policy modifications.

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

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

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

• Keep abreast of market dynamics, coverage, and coding requirements.

• Expand knowledge of hub and specialty distribution channels.

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

• Serve as a subject matter expert on access and affordability solutions across Medicare, Medicaid Managed Care, Commercial, and other payer types.

• Conduct business in accordance with ethical, legal, and compliance standards while completing required training.

⛳️ Requirements

• A Bachelor’s degree is required, preferably in healthcare or business/public administration.

• A minimum of 5 years of relevant professional experience is necessary.

• Experience in Account Management and/or Reimbursement within a provider office setting.

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

• Relevant experience in reimbursement or 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.

• Problem-solving skills to navigate complex access challenges.

• Exceptional written and verbal communication abilities, along with efficient follow-through.

• Experience with patient support HUB services.

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

• Willingness to travel up to 50% of the time.

• Comprehensive knowledge of medication access channels, including pharmacy and medical benefits, buy & bill, and assignment of benefits.

• Strong analytical skills and critical thinking to interpret complex quantitative and qualitative data.

• Outstanding social, communication, facilitation, and presentation skills.

• Up-to-date knowledge of product coverage, access, market conditions, and stakeholder practices.

• Preferred: Experience in neuroscience disease states.

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

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

• Preferred: Technical knowledge of payer policy, coding, coverage, and payment.

• Preferred: Proficiency in Salesforce.com CRM, Microsoft Word, and Excel.

🏝️ Benefits

• Long-term incentive program.

• Vacation – 120 hours per calendar year.

• Sick time – 40 hours per calendar year; 48 hours per calendar year for employees residing in Colorado; 56 hours per calendar year for employees residing in Washington.

• Holiday pay, including 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 in a 52-week rolling period.

• Volunteer Leave – 32 hours per calendar year.

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