Field Reimbursement Manager, Neuroscience – (Oklahoma City, OK) – Patient Engagement & Customer Solutions (PECS)

Johnson & Johnson Innovative Medicine•Hopewell Township, NJ

1d•Onsite

About The Position

Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is seeking a Field Reimbursement Manager for its Oklahoma City territory, which includes Oklahoma City and Tulsa, Oklahoma, and Fort Worth and Amarillo, Texas. 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 educating healthcare providers (HCPs) and office staff, providing assistance, and resolving issues related to patient access to J&J Neuroscience therapies. The role assesses HCP education needs and facilitates collaboration with relevant stakeholders. It involves spending up to 50% of time onsite with HCPs and HCP staff, and travel up to 75% of the time. The FRM supports patients’ treatment journeys by helping address challenges involving fulfillment, onboarding, and adherence. The position provides reimbursement and access support, education, and problem-solving in accordance with FRM Rules of Engagement, and serves as an expert on access, fulfillment, reimbursement, and affordability solutions across payer types and plans.

Requirements

Bachelor’s degree; 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, 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 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 (AOB).
Critical-thinking ability.
Ability to analyze highly complex quantitative and qualitative data to accelerate access.
Ambition and a high degree of intellectual curiosity.
Ability to stay current on and anticipate changes in product coverage, access knowledge, marketplace conditions, and stakeholder practices, and to deliver approved materials effectively.
Ability to understand and adapt to the changing healthcare ecosystem to customize resources and messaging for HCPs and HCP staff.
Travel up to 75% of the time.

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.
Excellent technical knowledge of payer policy and reimbursement elements, 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, including local and government payers.
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 in alignment 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.
Grow 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 about access and affordability solutions across payer types and plans, including Medicare, Medicaid Managed Care, and commercial plans.
Conduct business in accordance with ethical, legal, and compliance standards, including completing required training on time.