Field Reimbursement Manager, Neuroscience – (Manchester, NH) – Patient Engagement & Customer Solutions (PECS)
About The Position
Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is hiring a Field Reimbursement Manager for a territory covering Manchester, New Hampshire; Springfield and Worcester, Massachusetts; and Portland, Maine. PECS works to create personalized, seamless, and supportive patient experiences that help patients start and remain on treatment. The Field Reimbursement Manager (FRM) serves as the primary field-based lead for education, assistance, and issue resolution related to patient access to J&J Neuroscience therapies. The role supports healthcare providers (HCPs) and their office staff by assessing educational needs, explaining access and reimbursement processes, and facilitating collaboration with relevant stakeholders. The position involves spending up to 50% of time on-site with HCPs and HCP staff and traveling up to 75% of the time. The FRM provides expertise in reimbursement, access, and affordability across payer types and plans, including Medicare, Medicaid Managed Care, and commercial plans. The manager works with field support colleagues and internal J&J departments, maintains knowledge of market and payer dynamics, and provides compliant, timely support to help resolve patient access barriers. The role requires territory logistics and account planning, strong customer relationships, and adherence to ethical, legal, and compliance standards.
Requirements
- Bachelor’s degree; a healthcare or business/public administration focus 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, 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.
- Superior written and verbal communication skills and efficient follow-through.
- Experience working with patient support hub services.
- Valid U.S. driver’s license and a driving record compliant 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 (AOB).
- Critical-thinking skills and ability to analyze complex quantitative and qualitative data to accelerate access.
- Intellectual curiosity and ambition.
- Ability to keep current with and anticipate changes in product coverage, access knowledge, marketplace conditions, and stakeholder practices.
- Ability to adapt to the changing healthcare ecosystem and tailor resourcing 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 related to payer approval processes and business acumen.
- Understanding of Medicare, Medicaid, and private payer initiatives that affect reimbursement of pharmaceutical and biotechnology products.
- Technical expertise in payer policy and reimbursement, including 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 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 creative problem-solving consistent 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.
- Increase 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.
- Conduct business according to ethical, legal, and compliance standards and complete required training in a timely manner.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
