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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 resolve access barriers. Possesses strong problem-solving skills and the ability to build trust-based relationships within a matrix organization.
Highest-signal resume keywords
Account Management ExperienceReimbursement ExpertiseHealthcare Provider CollaborationProblem-Solving AbilitySuperior Communication Skills
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 AuthorizationsOffice OperationsAppeals ProcessesPharmacy Benefit DesignMedical Benefit DesignAccess and Affordability SolutionsPatient Support HUB ServicesMarket Dynamics Knowledge
Soft Skills
Relationship BuildingCollaborationInfluencing SkillsCreative Problem-SolvingEfficient Follow-Through
Tools & Technologies
Salesforce.com CRMMicrosoft WordMicrosoft Excel
Certifications & Qualifications
Relevant Certifications in Prior AuthorizationBilling and Coding Certifications
Industry Keywords
MedicareMedicaidManaged CareCommercial PlansNeuroscience Disease State
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 on-site with healthcare providers and staff, assessing education needs and facilitating stakeholder collaboration
- Educate HCPs on reimbursement processes, claims submissions, procedures, and payer coding requirements
- Collaborate with sales representatives, key account managers, managed care colleagues, and internal J&J departments
- Serve as the local access, fulfillment, and reimbursement expert
- Lead compliant access and fulfillment discussions
- Use data and account management skills to address access barriers and critical access and affordability issues
- 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
- Grow knowledge of hub and specialty distribution channels
- Serve as subject matter expert on access and affordability solutions across Medicare, Medicaid Managed Care, and Commercial plans
- 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
- Expertise with pharmacy and medical/buy & bill benefit design, coding, billing, prior authorizations, office operations, and appeals processes
- Reimbursement or relevant managed care experience
- 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
- Understanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement preferred
- Salesforce.com CRM, Microsoft Word, and Excel preferred
- This role involves travel up to 75% of the time
Benefits
Comp & perks- Consolidated retirement plan (pension)
- Savings plan (401(k))
- Vacation –120 hours per calendar year
- Sick time - 40 hours per calendar year
- 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/foster care of a child
- Bereavement Leave – 240 hours for an immediate family member; 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
- Equal Opportunity Employer
- Inclusive interview process and reasonable accommodation support