Field Reimbursement Manager – Neuroscience

Job not on LinkedIn

🔥 16 hours ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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Johnson & Johnson

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

💊 Pharmaceuticals

🧬 Biotechnology

Healthcare • Pharmaceuticals • Biotechnology

<Johnson & Johnson> is a global healthcare company that researches, develops, manufactures and markets pharmaceuticals, medical devices and consumer health products. The company focuses on innovative medicines and therapies across oncology, immunology, neuroscience and cardiopulmonary areas, and develops MedTech solutions in cardiovascular, orthopaedics, surgery and vision. Johnson & Johnson also engages in health & wellness education, large-scale manufacturing, investor activities and global social-impact initiatives.

📋 Description

• Serve as the primary field-based lead for education, assistance, and issue resolution regarding patient access to J&J Neuroscience therapies • Spend up to 50% of time on-site with healthcare providers and their staff, assessing education needs and facilitating stakeholder collaboration • Educate healthcare providers on reimbursement processes, claims submissions, procedures, and payer coding requirements • Collaborate with sales representatives, key account managers, managed care colleagues, and other field support team members • Serve as the local team’s access, fulfillment, and reimbursement expert • Lead compliant access and fulfillment discussions • Use data and account management skills to proactively address access barriers • Address critical patient access and affordability issues with urgency and accountability • Conduct field-based reimbursement and access support, education, and creative problem-solving • Build trust-based relationships with customers in assigned accounts • Manage territory logistics, routing, and account business planning • Maintain knowledge of market dynamics, coverage, and coding requirements • Develop knowledge of hub and specialty distribution channels to improve practice and patient support • Collaborate with internal J&J departments including marketing, sales, medical science, SCG, IBG, HCC, and PECS • Serve as subject matter expert on access and affordability solutions across Medicare, Medicaid Managed Care, and Commercial plans • Execute business according to ethical, legal, and compliance standards and complete required training

🎯 Requirements

• Bachelor’s degree, preferably in healthcare or business/public administration • Minimum of 5 years of relevant professional experience • Account Management and/or Reimbursement experience working in the provider office setting, building strong customer relationship • Expertise with pharmacy and medical/buy & bill benefit design, coding, billing, prior authorizations, office operations, and appeals processes • Reimbursement or relevant managed care experience, including revenue cycle, buy-and-bill, prior authorization, coding, and appeals processes • Experience working with patient support HUB services • Extensive knowledge of medication access channels, including pharmacy and medical benefit, buy & bill, and/or assignment of benefit • Ability to analyze complex quantitative and qualitative data • Ability to establish relationships, collaborate, and influence across a matrix organization • Problem-solving ability to navigate challenging access scenarios • Superior written and verbal communication skills and efficient follow-through • Valid US driver’s license and driving record compliant with company standards • Permanent residence in the listed territory • Ability to travel up to 75% of the time • Advanced business degree (MBA) or public health degree (MPH) preferred • Neuroscience disease state experience preferred • Advanced degree and/or relevant certifications in prior authorization and/or billing and coding preferred • Strong market access and business acumen preferred • Understanding of Medicare, Medicaid, and private payer initiatives preferred • Technical knowledge of payer policy and reimbursement preferred • Salesforce.com CRM, Microsoft Word, and Excel proficiency preferred • Commitment to learning emerging technologies such as AI preferred

🏖️ Benefits

• Inclusive work environment • Equal opportunity employment • Interview process accommodations for applicants with disabilities • Field-based work arrangement • No commission (job sub-function)

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