Field Reimbursement Manager, Neuroscience – (Denver, CO) – Patient Engagement & Customer Solutions (PECS)

Johnson & Johnson Innovative Medicine•Lincoln, NE

6d•Onsite

About The Position

Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is recruiting a Field Reimbursement Manager for the Denver territory, including Denver and Aurora, Colorado, and Lincoln and Omaha, Nebraska. PECS works to create personalized, seamless, and supportive patient experiences that help patients 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 (HCPs) and their office staff concerning patient access to Johnson & Johnson Neuroscience therapies. The role includes spending up to 50% of time on-site with HCPs and their staff to assess education needs and facilitate collaboration with stakeholders. The FRM provides reimbursement and access support, helps address barriers to treatment, and serves as an expert to local teams and customers. The position involves travel 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 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 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.
Knowledge of medication access channels, including pharmacy and medical benefits, buy-and-bill, and/or assignment of benefit.
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 tailor resources and messaging for HCPs and 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 and reimbursement, including coding, coverage, and payment.
Competence 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 HCPs 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 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 departments, including marketing, sales, medical science, SCG, IBG, HCC, and PECS; provide expertise and insights on access and affordability solutions across payer types and plans.
Conduct business in accordance with ethical, legal, and compliance standards and complete required training.
Travel up to 75% of the time.