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

Job not on LinkedIn

🔥 8 minutes ago

🏖️ New Jersey, New York, +4 more states – Remote

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💵 $102k - $177.1k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏆 Customer Success

🦅 H1B Visa Sponsor

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👻 Ghost score 0%

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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, support, and issue resolution related to patient access to J&J Neuroscience therapies • Spend up to 50% of time on-site with corporate customers, healthcare providers, and office staff • Assess educational needs and facilitate collaboration among key stakeholders • Develop strategic plans based on corporate access and reimbursement processes, objectives, and challenges • Educate stakeholders on reimbursement processes, claims submissions, procedures, and payer coding requirements • Collaborate with key account managers and field reimbursement managers nationwide • Serve as access, fulfillment, and reimbursement expert for assigned accounts • Lead compliant access and fulfillment discussions • Use data and account management skills to proactively address access barriers • Address critical access and affordability issues for patients • Partner with managed care colleagues on current and future policy changes • Conduct field-based reimbursement and access support, education, and creative problem-solving • Build trust-based relationships with customers in assigned accounts • Manage account engagement logistics, routing, and business planning • Maintain knowledge of market dynamics, coverage, and coding requirements • Grow 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 required, preferably in healthcare or business/public administration • Minimum of 5 years of relevant professional experience • Account Management and/or Reimbursement experience working in a 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 • 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 • Ability to travel up to 50% • Extensive knowledge of medication access channels, including pharmacy and medical benefits, buy & bill, and assignment of benefit • Critical thinking and ability to analyze complex quantitative and qualitative data • Excellent social, communication, facilitation, and presentation skills • Current knowledge of product coverage, access, marketplace conditions, and stakeholder practices • Preferred: Neuroscience disease state experience • Preferred: Advanced degree and/or relevant certifications in prior authorization and/or billing and coding • Understanding of Medicare, Medicaid, and private payer initiatives affecting pharmaceutical and biotechnology reimbursement • Preferred: Technical knowledge of payer policy, coding, coverage, and payment • Preferred: Salesforce.com CRM, Microsoft Word, and Excel proficiency

🏖️ 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

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