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Field Reimbursement Manager, Neuroscience – Patient Engagement & Customer Solutions
Johnson & Johnson. Serve as the primary field-based lead for education, assistance, and issue resolution related to patient access to J&J Neuroscience therapies .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient access and reimbursement processes, including coding, billing, and prior authorizations, while effectively collaborating with healthcare providers and stakeholders to address access barriers. Possesses strong account management skills and the ability to analyze complex data to navigate the evolving healthcare landscape.
Highest-signal resume keywords
Patient Access ExpertiseReimbursement ExperienceAccount Management SkillsStrong Communication SkillsData Analysis Ability
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
CodingBillingPrior AuthorizationRevenue Cycle ManagementBuy-and-Bill ProcessesMedication Access ChannelsHealthcare ComplianceMarket Access AcumenNeuroscience Disease State KnowledgeQuantitative Data Analysis
Soft Skills
Relationship BuildingProblem-SolvingCollaborationInfluencing SkillsEffective Follow-Through
Tools & Technologies
Salesforce.com CRMMicrosoft WordMicrosoft ExcelPatient Support HUB Services
Certifications & Qualifications
Advanced Degree in Healthcare or BusinessRelevant Certifications in Prior AuthorizationBilling and Coding Certifications
Industry Keywords
MedicareMedicaidManaged CarePharmaceutical ReimbursementBiotechnology Product ReimbursementPayer PolicyCoding RequirementsHealthcare EcosystemMarket DynamicsStakeholder Practices
Tech Stack
Tools & technologiesSFDC
About the role
Key responsibilities & impact- Serve as the primary field-based lead for education, assistance, and issue resolution related to patient access to J&J Neuroscience therapies
- Spend up to 50% of time on-site with healthcare providers and their staff
- Assess HCP education needs and facilitate collaboration with stakeholders
- Educate HCPs on reimbursement processes, claims submissions, procedures, and payer coding requirements
- Collaborate with sales representatives, key account managers, and field support teams
- Serve as the local team’s access, fulfillment, and reimbursement expert
- Lead compliant access and fulfillment discussions
- Use data and account management skills to address access barriers proactively
- Address critical patient access and affordability issues
- Partner with managed care colleagues on current policies and potential changes
- Conduct field-based reimbursement and access support, education, and problem-solving
- Build trust-based relationships with customers in assigned accounts
- Manage territory logistics, routing, and account business planning
- Maintain knowledge of market dynamics, coverage, and coding requirements
- Develop knowledge of hub and specialty distribution channels
- Collaborate with internal J&J departments including marketing, sales, medical science, SCG, IBG, HCC, and PECS
- Serve as subject matter expert on access and affordability solutions across Medicare, Medicaid Managed Care, Commercial, and other payer types
- Complete business activities in accordance with ethical, legal, and compliance standards and required training
Requirements
What you’ll need- Bachelor’s degree, preferably in healthcare or business/public administration
- Minimum of 5 years of relevant professional experience
- Account Management and/or Reimbursement experience working in the provider office setting, building strong customer relationship
- Demonstrated expertise with both pharmacy and medical/buy & 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 in a timely and efficient manner
- Superior written and verbal communication skills and efficient follow-through
- Experience working with patient support HUB services
- Valid US driver’s license and a driving record in compliance with company standards
- Permanent residence in the listed territory
- Extensive knowledge of medication access channels, including pharmacy and medical benefit, buy & bill, and/or assignment of benefit (AOB)
- Ability to analyze highly complex quantitative and qualitative data
- Ability to remain current on and anticipate changes in product coverage, access knowledge, marketplace conditions, and stakeholder practices
- Ability to understand and adapt to the changing healthcare ecosystem
- Neuroscience disease state experience preferred
- Advanced degree and/or relevant certifications in prior authorization and/or billing and coding preferred
- Strong market access acumen and business acumen preferred
- Understanding of Medicare, Medicaid, and private payer initiatives affecting pharmaceutical and biotechnology product reimbursement preferred
- Technical knowledge of payer policy, including coding, coverage, and payment, preferred
- Salesforce.com CRM, Microsoft Word, and Excel proficiency preferred
- Commitment to learning emerging technologies such as AI
- Ability to travel up to 75% of the time
Benefits
Comp & perks- Equal Opportunity Employer
- Inclusive interview process and accommodation support for applicants with disabilities
- Field-based work arrangement
- No commission (Job Sub Function: Sales – Pharm (No Commission))