Field Reimbursement Manager, Neuroscience – Patient Engagement & Customer Solutions

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🔥 0 minutes ago

⛷️ Utah, Wyoming – Remote

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⏰ Full Time

🟡 Mid-level

🟠 Senior

🏆 Customer Success

🦅 H1B Visa Sponsor

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👻 Ghost score 10%

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Logo of Johnson & Johnson

Johnson & Johnson

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 healthcare providers and staff, assessing education needs and facilitating stakeholder collaboration • Educate healthcare providers 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 proactively address access barriers • Address critical patient access and affordability issues • Partner with managed care colleagues on current policies and potential changes • Conduct field-based reimbursement and access support, education, and 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 marketing, sales, medical science, SCG, IBG, HCC, and PECS departments • Serve as subject matter expert on access and affordability solutions across Medicare, Medicaid Managed Care, Commercial, and other 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 • 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 • Neuroscience disease state experience preferred • Advanced business degree (MBA) or public health degree (MPH) 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 pharmaceutical and biotechnology reimbursement • Salesforce.com CRM, Microsoft Word, and Excel preferred • This role involves travel up to 75% of the time

🏖️ Benefits

• Equal Opportunity Employer • Inclusive interview process and accommodation support for applicants with disabilities • Full-time employment

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