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

Johnson & Johnson•Salt Lake, UT

4d•Onsite

About The Position

Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is hiring a Field Reimbursement Manager for the Salt Lake City territory, which includes Salt Lake City, Ogden, and Sandy, Utah, and Cheyenne, Wyoming. PECS works to create personalized, seamless, and supportive patient experiences that help patients start and stay on treatment. The Field Reimbursement Manager is the primary field-based lead for education, assistance, and issue resolution related to patient access to Johnson & Johnson Neuroscience therapies. The role supports healthcare providers (HCPs) and office staff by addressing reimbursement and access needs, and involves spending up to 50% of time on-site with HCPs and their staff. The position also involves travel up to 75% of the time.

Requirements

Bachelor’s degree; a degree in healthcare or business/public administration is preferred.
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, buy-and-bill, and/or assignment of benefit.
Critical-thinking ability and ability to analyze complex quantitative and qualitative data to accelerate access.
Ambition and a high degree of intellectual curiosity.
Ability to execute work in compliance with ethical, legal, and company requirements.

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 and business acumen, including understanding payer approval processes.
Understanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement of pharmaceutical and biotechnology products.
Technical knowledge of payer policy and reimbursement elements, including coding, coverage, and payment.
Proficiency 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 payer reimbursement processes, claims submissions, procedures, and coding requirements.
Collaborate with sales representatives, key account managers, and other field support team members, serving 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.
Provide field-based reimbursement and access support, education, and creative 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.
Expand knowledge of hub and specialty distribution channels to improve support for practices and patients.
Collaborate with internal departments, including marketing, sales, medical science, SCG, IBG, HCC, and PECS.
Serve as a subject matter expert on education and insights concerning 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 and complete required training on time.
Keep current on and anticipate changes in product coverage, access knowledge, marketplace conditions, and stakeholder practices.
Adapt to changes in the healthcare ecosystem to customize resources and messaging for HCPs and their staff.