Field Reimbursement Manager, Neuroscience – Patient Engagement & Customer Solutions

Job not on LinkedIn

🔥 1 hour ago

⛰️ Colorado, Nebraska – Remote

⛰️ Colorado – Remote 🌾 Nebraska – Remote

💵 $102k - $177.1k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏆 Customer Success

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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 provider staff • Educate healthcare providers on reimbursement processes, claims submissions, procedures, and payer coding requirements • Collaborate with sales representatives, key account managers, managed care colleagues, and internal J&J departments • Serve as the local 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 • 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 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/or assignment of benefit • Ability to analyze highly complex quantitative and qualitative data • Bachelor’s degree in healthcare or business/public administration 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 • Knowledge 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 proficiency preferred • Travel up to 75% of the time

🏖️ Benefits

• Long-term incentive program eligibility • Vacation – 120 hours per calendar year • Sick time – 40 hours per calendar year; Colorado residents – 48 hours per calendar year; Washington residents – 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 period • Volunteer Leave – 32 hours per calendar year • Military Spouse Time-Off – 80 hours per calendar year