Field Reimbursement Manager, Neuroscience – (San Antonio, TX) – Patient Engagement & Customer Solutions (PECS)

6077-Johnson & Johnson HCS Legal Entity•San Antonio, TX

1d•Hybrid

About The Position

The Patient Engagement and Customer Solutions (PECS) organization is recruiting for a Field Reimbursement Manager for the San Antonio, TX territory, which includes San Antonio, Austin, Corpus Christi, and Waco. PECS is committed to setting the standard on Patient Experience (Px), building more personalized, seamless, and supportive experiences to help patients start and stay on treatments across the portfolio. The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs) and their office staff, with respect to patient access to J&J Neuroscience therapies. This role involves investing time (up to 50%) on-site with HCPs and HCP staff, assessing their education needs and facilitating collaboration with various stakeholders.

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 identifies solutions in a timely and efficient manner
Superior communication skills (written and verbal) and efficient follow-through
Experience in 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

Nice To Haves

An advanced business degree (MBA), or public health (MPH)) is preferred.
Neuroscience disease state experience
Advanced degree and/or relevant certifications in prior authorization and/or billing and coding
Strong market access acumen as it relates to payer approval processes and business acumen
Understanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement of pharmaceutical and biotechnology products
Excellent technical knowledge and expertise in payer policy, including all elements of reimbursement (coding, coverage, and payment) is preferred
Demonstrated competence with salesforce.com CRM use, Microsoft Word, and Excel
Demonstrated commitment to learning emerging technologies, such as AI, through exploration, iteration, and apply new tools over time

Responsibilities

Educate HCPs on reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, etc.)
Effectively collaborate with field support team members such as sales representatives and key account managers and serve as access, fulfillment, and reimbursement expert for the local team
Lead compliant access and fulfillment discussions with field support team members
Utilize data and account management skills to proactively address access barriers
Act with a sense of urgency and accountability to address critical access and affordability issues for patients
Partner with managed care colleagues to understand current policies and potential future changes
Conduct field-based reimbursement and access support, education and creative problem-solving aligned to FRM Rules of Engagement
Build strong, trust-based relationships with customers in all assigned accounts
Manage territory logistics, routing, and account business planning
Maintain and grow knowledge of national, regional, local, and account market dynamics including coverage and coding requirements
Grow the knowledge of hub and specialty distribution channels to improve practice and patient support needs
Collaborate with internal J&J departments such as marketing, sales, medical science, SCG, IBG, HCC, and PECS.
Serve as subject matter expert regarding education and insights on access and affordability solutions across multiple payer types and plans (i.e., Medicare, Medicaid Managed Care, Commercial).
Execute business in accordance with the highest ethical, legal, and compliance standards, including timely and successful completion of all required training