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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. Possesses strong problem-solving skills and the ability to build trust-based relationships within a complex healthcare ecosystem.
Highest-signal resume keywords
Patient Access ExpertiseReimbursement ExperienceAccount Management SkillsHealthcare Provider CollaborationData Analysis 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 AuthorizationAppeals ProcessesPharmacy Benefit DesignMedical Benefit DesignRevenue Cycle ManagementMarket Access KnowledgeHealthcare Ecosystem UnderstandingNeuroscience Disease State Experience
Soft Skills
Problem-Solving AbilitySuperior Communication SkillsRelationship BuildingCollaborationInfluencing Skills
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 CareBuy & BillAssignment of Benefit (AOB)Payer PolicyCoding RequirementsCoverage KnowledgeMarketplace ConditionsStakeholder Practices
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 other field support team members
- Serve as the local team’s 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 with urgency and accountability
- Provide 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, Commercial, and other payer types
- Execute business in accordance with 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, 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 (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 communication skills (written and verbal) and efficient follow-through
- Experience in 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 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 and business acumen preferred
- Understanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement preferred
- Technical knowledge of payer policy, including coding, coverage, and payment preferred
- Salesforce.com CRM, Microsoft Word, and Excel preferred
- Willingness to learn emerging technologies such as AI
- Ability to travel up to 75% of the time
Benefits
Comp & perks- Vacation –120 hours per calendar year
- Sick time - 40 hours per calendar year; for employees who reside in the State of Colorado –48 hours per calendar year; for employees who reside in the State of Washington –56 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