Field Reimbursement Manager – Neuroscience

Job not on LinkedIn

🕒 September 21

🌲 North Carolina – Remote

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⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

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👻 Ghost score 20%

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Logo of Johnson & Johnson

Johnson & Johnson

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 time on-site with healthcare providers and office 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 and key account managers as the local 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 future changes • 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 • Collaborate with internal 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 payer 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 • 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 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 benefit, buy & bill, and/or assignment of benefit (AOB) • Ability to analyze complex quantitative and qualitative data • Ability to remain current on and anticipate changes in product coverage, access knowledge, marketplace conditions, and stakeholder practices • Ability to understand and adapt to the changing healthcare ecosystem • Preferred: MBA or 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 affecting pharmaceutical and biotechnology reimbursement • Preferred: technical expertise in payer policy, coding, coverage, and payment • Preferred: Salesforce.com CRM, Microsoft Word, and Excel • Demonstrated commitment to learning emerging technologies such as AI • Travel up to 75% of the time

🏖️ Benefits

• Equal Opportunity Employer • Inclusive interview process and accommodation support for applicants with disabilities • Field-based work arrangement • No commission (job sub-function classification)

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