R-098948 Field Reimbursement Manager, Neuroscience – (Salt Lake City, UT) – Patient Engagement & Customer Solutions (PECS) (Open)

Johnson & Johnson Innovative Medicine•Hopewell Township, NJ

5d•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, Utah territory, which includes Salt Lake City, Ogden, and Sandy, Utah, and Cheyenne, Wyoming. PECS supports personalized, seamless patient experiences that help people start and stay on treatment. The Field Reimbursement Manager is the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs) and their office staff regarding patient access to Johnson & Johnson Neuroscience therapies. The role assesses HCP education needs, facilitates collaboration with stakeholders, and spends up to 50% of its time onsite with HCPs and staff. Travel may reach 75% of the time. The position provides reimbursement and access education and support, helps practices address patient access and affordability challenges, and serves as a local expert on access, fulfillment, and reimbursement. It also manages territory logistics and account planning, maintains knowledge of payer and market dynamics, and collaborates with internal teams and external customers. The role requires conducting business in accordance with ethical, legal, and compliance standards.

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 customer relationships.
Expertise in pharmacy and medical/buy-and-bill benefit design, coding, billing, prior authorizations, office operations, and appeals.
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 and the ability to analyze complex quantitative and qualitative data to accelerate access.
Intellectual curiosity and ambition.
Ability to stay current on and anticipate changes in product coverage, access, market conditions, and stakeholder practices, and to deliver approved materials effectively.
Ability to understand and adapt to changes in the healthcare ecosystem and tailor resources 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, billing, or coding.
Strong market access knowledge related to 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 sales representatives, key account managers, and other field support team members; 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 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 support for practices and patients.
Collaborate with internal departments, including marketing, sales, medical science, SCG, IBG, HCC, and PECS; provide subject-matter expertise on access and affordability solutions across payer types and plans.
Complete business activities according to ethical, legal, and compliance standards, including required training.