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Johnson & Johnson

Makes prescription drugs and medical devices

Field Reimbursement Manager - Neuroscience

Customer SuccessConfirmed live in the last 24 hours
Full-time

About the Job

Requirements

  • A bachelor's degree, preferably in healthcare or business/public administration.
  • A minimum of 5 years of relevant professional experience.
  • Account management and/or reimbursement experience working in a provider office setting and 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 in a timely and efficient manner.
  • Superior written and verbal communication skills and efficient follow-through.
  • Experience working with patient support hub services.
  • A valid U.S. driver's license and a driving record that complies with company standards.
  • Permanent residence in the listed territory.

Responsibilities

  • Educate healthcare providers on reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations, including local and government payers.
  • Collaborate with field support team members such as 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 access and affordability issues for patients with urgency and accountability.
  • Partner with managed care colleagues to understand current policies and potential future changes.
  • Conduct field-based reimbursement and access support, education, and creative problem-solving in alignment with the Field Reimbursement Manager Rules of Engagement.
  • Build strong, trust-based relationships with customers in 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 needs.
  • Collaborate with internal 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, including completing required training on time.

Desired Qualifications

  • An advanced business degree (MBA) or a public health degree (MPH).
  • Neuroscience disease-state experience.
  • An 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.

About the Company

Johnson & Johnson

Makes prescription drugs and medical devices

Johnson & Johnson develops prescription medicines and makes medical devices for hospitals, and unlike most big drugmakers, it runs both businesses under one roof. In 2015, its Darzalex became the first antibody drug approved for multiple myeloma, a blood cancer. Its medicines treat cancer, immune diseases such as psoriasis, and mental illnesses such as depression, and patented drugs bring in most of its sales. Its MedTech unit makes heart pumps, catheters that treat irregular heartbeats, surgical sutures, and Acuvue contact lenses. It was founded in 1886 to make sterile surgical dressings, is based in New Brunswick, New Jersey, and spun off its consumer brands, such as Tylenol and Band-Aid, as Kenvue in 2023.

Company size
10,001+
Company stage
IPO
Headquarters
New Brunswick, NJ
Founded
1886

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