Field Reimbursement Manager - Neuroscience, (Raleigh, NC) - Patient Engagement and Customer Solutions (PECS)

Johnson & Johnson Innovative Medicine•Greensboro, NC

11d

About The Position

Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is hiring a Field Reimbursement Manager for its Raleigh, North Carolina territory, which includes Charlotte and Greensboro, North Carolina, and Roanoke, Virginia. PECS works to create personalized, seamless, and supportive patient experiences that help patients start and stay on treatment. The Field Reimbursement Manager (FRM) serves as 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 involves spending up to 50% of time on-site with healthcare providers and staff to assess educational needs and facilitate collaboration with stakeholders. The FRM provides reimbursement and access support, addresses barriers to treatment, and serves as a subject matter expert on access and affordability solutions across payer types and plans. The position requires travel up to 75% of the time and permanent residence within the listed territory.

Requirements

Bachelor’s degree; 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 with pharmacy and medical/buy-and-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 solutions efficiently and promptly.
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.
Ability to travel up to 75% of the time.

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 related 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 of payer policy and reimbursement, including coding, coverage, and payment.
Experience using 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 healthcare providers on reimbursement processes, claims submissions, procedures, and payer coding requirements.
Collaborate with field support team members, 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.
Provide 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.
Develop 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.
Provide subject matter expertise, education, and insights on access and affordability solutions across payer types and plans, including Medicare, Medicaid Managed Care, and commercial plans.
Conduct business according to ethical, legal, and compliance standards, including timely completion of required training.