Field Reimbursement Manager – Neuroscience

Job not on LinkedIn

🕒 September 21

🐻 Alaska, Washington – Remote

🐻 Alaska – Remote ☕ Washington – Remote

💵 $102k - $177.1k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

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Johnson & Johnson

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1886

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

Johnson & Johnson is a multinational corporation focused on innovating across multiple sectors of healthcare and medicine. With a commitment to redefining healthcare, the company merges science and technology to address complex diseases through its divisions in innovative medicine and medical technology. Its areas of focus include oncology, immunology, neuroscience, and specialty ophthalmology, as well as interventional solutions and orthopaedics. J&J is dedicated to advancing global health equity and environmental sustainability while fostering innovation, diversity, and inclusion in the workplace. The company strives to provide solutions that connect health and care for providers, patients, and communities worldwide.

📋 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 working time on-site with healthcare providers and their staff • Assess HCP education needs and facilitate collaboration with stakeholders • Educate HCPs on reimbursement processes, claims submissions, procedures, and payer coding requirements • Collaborate with sales representatives, key account managers, and 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 address access barriers proactively • Address critical patient access and affordability issues with urgency and accountability • Partner with managed care colleagues on current policies and potential changes • Conduct field-based reimbursement and access support, education, and problem-solving in accordance with FRM Rules of Engagement • Build trust-based relationships with customers in assigned accounts • Manage territory logistics, routing, and account business planning • Maintain knowledge of national, regional, local, and account market dynamics, including coverage and coding requirements • Develop 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 subject matter expert on access and affordability solutions across Medicare, Medicaid Managed Care, Commercial, and other payer types • 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 • 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 • Ability to establish relationships, collaborate, and influence across a matrix organization • Problem-solving ability to navigate challenging access scenarios and identify timely, efficient solutions • Superior written and verbal communication skills and efficient follow-through • Experience working with patient support HUB services • Valid US driver’s license and driving record compliant with company standards • Permanent residence in the listed territory • Extensive knowledge of medication access channels, including pharmacy and medical benefits, buy & bill, and assignment of benefit • Ability to analyze complex quantitative and qualitative data • Knowledge of product coverage, access, marketplace conditions, and stakeholder practices • Understanding of the changing healthcare ecosystem and ability to customize resourcing and messaging to HCPs and HCP staff • Advanced business degree (MBA) or public health degree (MPH) preferred, not required • Neuroscience disease state experience preferred • Advanced degree and/or relevant certifications in prior authorization and/or billing and coding preferred • Understanding of Medicare, Medicaid, and private payer reimbursement initiatives preferred • Salesforce.com CRM, Microsoft Word, and Excel proficiency preferred • Willingness to travel up to 75% of the time

🏖️ Benefits

• Consolidated retirement plan (pension) • Savings plan (401(k)) • 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