Field Reimbursement Manager, Neuroscience – (Houston, TX) – Patient Engagement & Customer Solutions (PECS)

Johnson & Johnson Innovative Medicine•Hopewell Township, NJ

6d•Onsite

About The Position

Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is hiring a Field Reimbursement Manager for its Houston, Texas territory, which includes Houston, Beaumont, New Orleans, and Baton Rouge. PECS aims to provide personalized, seamless, and supportive experiences that help patients start and stay on treatment. The Field Reimbursement Manager (FRM) is the primary field-based lead for education, assistance, and issue resolution with healthcare providers and their office staff concerning patient access to Johnson & Johnson Neuroscience therapies. The role includes spending up to 50% of time on-site with healthcare providers and staff to assess educational needs and coordinate with stakeholders. The position also involves travel up to 75% of the time. The FRM supports patients through access, fulfillment, onboarding, and adherence challenges. The role provides reimbursement and access education, serves as an expert resource to local field teams, identifies and addresses access barriers, and builds trusted relationships with customers. The FRM collaborates with internal teams and managed care colleagues, manages territory logistics and account planning, and conducts all business in accordance with legal, ethical, 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 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, such as revenue cycle, buy-and-bill, prior authorization, coding, and appeals.
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 such as 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 ambition.
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, billing, or coding.
Strong market access knowledge relating to payer approval processes and business acumen.
Understanding of Medicare, Medicaid, and private payer initiatives affecting pharmaceutical and biotechnology product reimbursement.
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 healthcare providers on reimbursement processes, claims submissions, procedures, and payer coding requirements, including those of 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 problem-solving in alignment with FRM Rules of Engagement.
Build strong, trust-based relationships with customers across 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 Johnson & Johnson departments, including marketing, sales, medical science, SCG, IBG, HCC, and PECS.
Serve as a subject matter expert on education and insights regarding access and affordability solutions across payer types and plans, including Medicare, Medicaid Managed Care, and commercial plans.
Conduct business in accordance with the highest ethical, legal, and compliance standards, including completing required training on time.
Stay current on and anticipate changes in product coverage, access knowledge, marketplace conditions, and stakeholder practices to deliver effective approved materials.
Adapt to changes in the healthcare ecosystem to tailor resources and messaging for healthcare providers and their staff.