Field Reimbursement Manager, Neuroscience – (Albuquerque, NM) – Patient Engagement & Customer Solutions (PECS)

Johnson & Johnson Innovative Medicine•Hopewell Township, NJ

About The Position

Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is hiring a Field Reimbursement Manager to support access to J&J Neuroscience therapies in a territory based in Albuquerque, New Mexico, covering Albuquerque, El Paso, Tucson, and Colorado Springs. PECS works to provide personalized, seamless, and supportive patient experiences that help patients start and remain on treatment. The Field Reimbursement Manager is the primary field-based lead for educating healthcare providers and office staff, assisting with reimbursement issues, and resolving barriers to patient access. The role involves spending up to 50% of the time on-site with healthcare providers and their staff to assess education needs and facilitate collaboration among stakeholders. The position also involves travel up to 75% of the time. The manager serves as a local expert on access, fulfillment, and reimbursement; supports compliant access discussions; identifies barriers using data and account-management skills; and collaborates with internal teams and managed care colleagues. The role requires maintaining knowledge of payer coverage and coding requirements, hub and specialty distribution channels, and national, regional, local, and account market dynamics. Business must be conducted in accordance with applicable ethical, legal, and compliance standards.

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 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.
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.
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 and adapt to changes in product coverage, access knowledge, marketplace conditions, stakeholder practices, and the healthcare ecosystem.
Ability to 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, billing, and coding.
Strong market-access and business acumen, including knowledge of payer approval processes.
Understanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement of pharmaceutical and biotechnology products.
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 ongoing application.

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 changes.
Provide field-based reimbursement and access support, education, and 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 expand knowledge of market dynamics, coverage, and coding requirements at national, regional, local, and account levels.
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.
Serve as a subject matter expert 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 and complete required training on time.