Field Reimbursement Manager, Neuroscience –(Phoenix, AZ ) – Patient Engagement & Customer Solutions (PECS)

Johnson & Johnson Innovative Medicine•Hopewell Township, NJ

16d

About The Position

Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is hiring a Field Reimbursement Manager for the Phoenix, Arizona territory, which includes Phoenix, Mesa, Scottsdale, and Glendale. PECS aims to create personalized, seamless, and supportive patient experiences that help patients start and remain on treatment. The role serves as the primary field-based lead for education, assistance, and issue resolution with healthcare providers and office staff regarding patient access to J&J Neuroscience therapies. It includes spending up to 50% of time on-site with healthcare providers and staff to assess education needs and facilitate collaboration with stakeholders. The Field Reimbursement Manager provides reimbursement and access education, helps address access and affordability barriers, and serves as a subject matter expert for the local team. The role works with customers and internal teams, manages territory logistics and account planning, and keeps current on payer, coverage, coding, and market dynamics. Work must comply with applicable ethical, legal, and company standards. Travel may be 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 a 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 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 healthcare providers 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 concerning 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, including reimbursement 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 aligned with FRM Rules of Engagement.
Build 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 practice and patient support.
Collaborate with internal J&J departments, including marketing, sales, medical science, SCG, IBG, HCC, and PECS.
Provide subject matter expertise 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 completing required training on time.