Field Reimbursement Manager – Neuroscience

🔥 1 minute ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

💵 $102k - $177.1k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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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 regarding patient access to J&J Neuroscience therapies • Spend up to 50% of time onsite with healthcare providers and HCP staff • Educate HCPs on reimbursement processes, claims submissions, procedures, and payer coding requirements • Collaborate with sales representatives, key account managers, 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 proactively address access barriers • 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 national, regional, local, and account market dynamics, including 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 • Complete business activities in accordance with ethical, legal, and compliance standards and 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 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 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 assignment of benefit (AOB) • Ability to analyze highly complex quantitative and qualitative data • Critical thinking and intellectual curiosity • Ability to remain current on and anticipate changes in product coverage, access knowledge, marketplace conditions, and stakeholder practices • Ability to adapt to the changing healthcare ecosystem and customize resourcing and messaging to HCPs and HCP staff • Advanced business degree (MBA) or public health degree (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 • Salesforce.com CRM, Microsoft Word, and Excel experience preferred • Willingness to learn emerging technologies such as AI • Ability to travel up to 75% of the time

🏖️ Benefits

• Consolidated retirement plan (pension) • Savings plan (401(k)) • Long-term incentive program • Vacation – 120 hours per calendar year • Sick time – 40 hours per calendar year; 48 hours for employees residing in Colorado; 56 hours 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 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