Field Reimbursement Manager, Neuroscience – (Manhattan, NY) – Patient Engagement & Customer Solutions (PECS)

Johnson & Johnson Innovative Medicine • Hopewell Township, NJ

18d • $102,000 - $177,100

About The Position

Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is hiring a Field Reimbursement Manager for the Manhattan, NY territory, including Manhattan, New York, Brooklyn, and Jamaica. PECS works to create personalized, seamless, and supportive patient experiences that help patients start and stay on treatment.

The Field Reimbursement Manager (FRM) serves as the primary field-based lead for educating and assisting healthcare providers (HCPs) and their office staff, and resolving issues related to patient access to J&J Neuroscience therapies. The role involves spending up to 50% of time on-site with HCPs and staff to assess education needs and facilitate collaboration with stakeholders. Travel may reach 75% of the time.

The FRM provides reimbursement and access education, helps address fulfillment and affordability barriers, and serves as a local subject matter expert on access and reimbursement solutions across payer types and plans. The role requires compliant execution, strong customer relationships, territory and account planning, and collaboration across internal teams.

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 solutions efficiently and promptly.
• 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 compliant with company standards.
• Permanent residence in the listed territory.

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 relating to payer approval processes and business acumen.
• Understanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement of pharmaceutical and biotechnology products.
• Technical knowledge and expertise in payer policy, 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 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 accordance 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.
• 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 regarding 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 and complete required training.

Benefits

• Vacation: 120 hours per calendar year.
• Sick time: 40 hours per calendar year, with specified higher allowances for employees residing in Colorado or Washington.
• Holiday pay, including floating holidays: 13 days per calendar year.
• Work, Personal and Family Time: up to 40 hours per calendar year.
• Parental Leave: 480 hours within one year of the birth, adoption, or foster care of a child.
• Bereavement Leave: 240 hours for an immediate family member and 40 hours for an extended family member per calendar year.
• Caregiver Leave: 80 hours in a 52-week rolling period.
• Volunteer Leave: 32 hours per calendar year.
• Military Spouse Time-Off: 80 hours per calendar year.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level