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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 with healthcare providers and office staff regarding 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 internal teams to address access barriers. Possesses strong communication skills and the ability to build trust-based relationships within a matrix organization.
Highest-signal resume keywords
Patient Access ExpertiseReimbursement ProcessesAccount ManagementHealthcare Provider CollaborationMarket Access Knowledge
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 AuthorizationAppeals ProcessesRevenue Cycle ManagementPharmacy Benefit DesignMedical Benefit DesignData AnalysisTerritory ManagementStakeholder Collaboration
Soft Skills
Problem-SolvingRelationship BuildingCommunicationCollaborationInfluencing
Tools & Technologies
Salesforce.com CRMMicrosoft WordMicrosoft ExcelPatient Support HUB Services
Certifications & Qualifications
Relevant Certifications in Billing and CodingAdvanced Degree in Healthcare or Business/Public Administration
Industry Keywords
NeuroscienceMedicareMedicaidManaged CarePayer PolicyAccess BarriersAffordability SolutionsCompliance StandardsHealthcare OperationsMarket Dynamics
Tech Stack
Tools & technologiesSFDC
About the role
Key responsibilities & impact- Serve as the primary field-based lead for education, assistance, and issue resolution with healthcare providers and office staff regarding patient access to J&J Neuroscience therapies
- Spend up to 50% of time onsite with HCPs and HCP staff, assessing education needs and facilitating stakeholder collaboration
- Educate HCPs on reimbursement processes, claims submissions, procedures, and payer coding requirements
- Collaborate with sales representatives and key account managers as the local access, fulfillment, and reimbursement expert
- Lead compliant access and fulfillment discussions
- Use data and account management skills to proactively address access barriers
- Address critical patient access and affordability issues
- Partner with managed care colleagues on current and potential future policies
- Conduct field-based reimbursement and access support, education, and creative 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, and Commercial plans
- Execute business according to ethical, legal, and compliance standards and complete 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
- Expertise with 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
- Superior written and verbal communication skills and efficient follow-through
- Experience working with patient support HUB services
- Valid US driver’s license and driving record compliant with company standards
- Permanent residence in the listed territory
- Neuroscience disease state experience preferred
- Advanced degree and/or relevant certifications in prior authorization and/or billing and coding preferred
- Strong market access and business acumen preferred
- Understanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement preferred
- Technical knowledge of payer policy and reimbursement preferred
- Competence with Salesforce.com CRM, Microsoft Word, and Excel preferred
- Commitment to learning emerging technologies such as AI
- Ability to travel up to 75% of the time
Benefits
Comp & perks- Inclusive work environment
- Equal opportunity employment
- Interview process accommodations for applicants with disabilities