Field Reimbursement Manager, Neuroscience – (Salt Lake City, UT) – Patient Engagement & Customer Solutions (PECS)

Johnson & Johnson Innovative Medicine•Hopewell Township, NJ

3d•$105,000 - $181,700

About The Position

Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is recruiting a Field Reimbursement Manager for a territory including Salt Lake City, Ogden, and Sandy, Utah, and Cheyenne, Wyoming. PECS aims to create personalized, seamless, and supportive patient experiences that help people start and stay on treatment. The Field Reimbursement Manager (FRM) is the primary field-based lead for education, assistance, and issue resolution with healthcare providers and their office staff regarding patient access to J&J Neuroscience therapies. The role assesses HCP education needs and facilitates collaboration with stakeholders, with up to 50% of time spent on-site with HCPs and their staff. It provides reimbursement and access support, education, and problem-solving aligned with FRM Rules of Engagement, while helping address barriers to treatment fulfillment, onboarding, and adherence. The FRM serves as a local access, fulfillment, and reimbursement expert, builds customer relationships, manages territory logistics and account planning, and works with internal teams and managed care colleagues. The role requires staying current on payer policies, coverage and coding requirements, market dynamics, and specialty distribution channels, while conducting business in accordance with ethical, legal, and compliance standards. Travel is up to 75% of the time.

Requirements

Bachelor’s degree, preferably in healthcare or business/public administration.
At least 5 years of relevant professional experience.
Account management and/or reimbursement experience in a provider-office setting, including building strong customer relationships.
Expertise in pharmacy and medical/buy-and-bill benefit design, coding, billing, prior authorizations, office operations, and appeals processes.
Reimbursement or relevant managed care experience, such as 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.
Strong written and verbal communication skills and efficient follow-through.
Experience working with patient support hub services.
Valid U.S. driver’s license and driving record that complies with company standards.
Permanent residence in the listed territory.
Extensive knowledge of medication access channels, including pharmacy and medical benefits such as buy-and-bill and/or assignment of benefit (AOB).
Critical-thinking skills and ability to analyze complex quantitative and qualitative data to accelerate access.
Intellectual curiosity and ability to anticipate changes in product coverage, access knowledge, marketplace conditions, and stakeholder practices.
Ability to adapt to the changing healthcare ecosystem and customize resources and messaging for HCPs and their staff.

Nice To Haves

Advanced business degree (MBA) or public health degree (MPH).
Neuroscience disease-state experience.
Advanced degree and/or relevant certifications in prior authorization and/or billing and coding.
Strong market-access acumen regarding payer approval processes and business acumen.
Understanding of Medicare, Medicaid, and private-payer initiatives affecting reimbursement of pharmaceutical and biotechnology products.
Technical expertise in payer policy, including reimbursement coding, coverage, and payment.
Experience with Salesforce.com CRM, Microsoft Word, and Excel.
Commitment to learning emerging technologies such as AI through exploration, iteration, and applying new tools over time.

Responsibilities

Educate HCPs on reimbursement processes, claims submissions, payer procedures, and coding requirements.
Collaborate with field support colleagues, including sales representatives and key account managers, and serve as the local team’s access, fulfillment, and reimbursement expert.
Lead compliant access and fulfillment discussions with field support team members.
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 to understand current policies and potential future changes.
Conduct field-based reimbursement and access support, education, and problem-solving in accordance with FRM Rules of Engagement.
Build strong, trust-based relationships with customers in 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 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 a subject matter expert on education and insights related to access and affordability solutions across payer types and plans, including Medicare, Medicaid Managed Care, and commercial plans.
Conduct business in accordance with ethical, legal, and compliance standards, including timely completion of required training.

Benefits

Eligible to participate in the Company’s long-term incentive program.
Vacation: 120 hours per calendar year.
Sick time: 40 hours per calendar year, with different stated allocations for Colorado and Washington residents.
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, or foster care of a child.
Bereavement leave: 240 hours for an immediate family member and 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.