Field Reimbursement Manager, Neuroscience – Patient Engagement, Customer Solutions

Job not on LinkedIn

🔥 1 minute ago

🏈 Ohio – Remote

🏈 Ohio – Remote

💵 $102k - $177.1k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏆 Customer Success

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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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 with healthcare providers and office staff regarding patient access to J&J Neuroscience therapies • Spend up to 50% of time on-site with HCPs and HCP staff, assessing education needs and facilitating stakeholder collaboration • Educate HCPs 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 address access barriers proactively • Address critical patient access and affordability issues with urgency and accountability • Conduct field-based reimbursement and access support, education, and creative 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 • Expand 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, 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, building strong customer relationship • Demonstrated expertise with both pharmacy and medical/buy & bill benefit design, coding, billing, prior authorizations, office operations, and appeals processes • Reimbursement or relevant managed care experience (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 in a timely and efficient manner • Superior written and verbal communication skills and efficient follow-through • Experience working with patient support HUB services • Valid US driver’s license and a driving record in compliance 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 highly 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 • 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 initiatives affecting reimbursement of pharmaceutical and biotechnology products preferred • Salesforce.com CRM, Microsoft Word, and Excel preferred • Commitment to learning emerging technologies such as AI • Up to 75% travel

🏖️ Benefits

• Vacation –120 hours per calendar year • Sick time - 40 hours per calendar year; for employees who reside in the State of Colorado –48 hours per calendar year; for employees who reside in the State of Washington –56 hours per calendar year • 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 period10 days • Volunteer Leave – 32 hours per calendar year • Military Spouse Time-Off – 80 hours per calendar year • Up to 75% travel associated with the field-based role • Inclusive interview accommodations for applicants with disabilities