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Job description
Field Reimbursement ManagerOur expertise in Innovative Medicine is informed and inspired by patients, whose insights fuel our science-based advancements. Visionaries like you work on teams that save lives by developing the medicines of tomorrow.Join us in developing treatments, finding cures, and pioneering the path from lab to life while championing patients every step of the way.The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs) and their office staff, with respect to patient access to J&J Neuroscience therapies. This role involves investing time (up to 50%) on-site with HCPs and HCP staff, assessing their education needs and facilitating collaboration with various stakeholders.Primary responsibilities include the following. Other duties may be assigned.Educate HCPs on reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, etc.)Effectively collaborate with field support team members such as sales representatives and key account managers and serve as access, fulfillment, and reimbursement expert for the local teamLead compliant access and fulfillment discussions with field support team membersUtilize data and account management skills to proactively address access barriersAct with a sense of urgency and accountability to address critical access and affordability issues for patientsPartner with managed care colleagues to understand current policies and potential future changesConduct field-based reimbursement and access support, education and creative problem-solving aligned to FRM Rules of EngagementBuild strong, trust-based relationships with customers in all assigned accountsManage territory logistics, routing, and account business planningMaintain and grow knowledge of national, regional, local, and account market dynamics including coverage and coding requirementsGrow the knowledge of hub and specialty distribution channels to improve practice and patient support needsCollaborate with internal J&J departments such as marketing, sales, medical science, SCG, IBG, HCC, and PECS. Serve as subject matter expert regarding education and insights on access and affordability solutions across multiple payer types and plans (i.e., Medicare, Medicaid Managed Care, Commercial).Execute business in accordance with the highest ethical, legal, and compliance standards, including timely and successful completion of all required trainingExperience & Skills:Extensive knowledge of medication access channels (i.e., pharmacy and medical benefit including buy & bill and/or assignment of benefit (AOB))Demonstrates critical thinkingAbility to analyze highly complex, quantitative and qualitative data to accelerate speed to accessAmbitious and possess a high degree of intellectual curiosityRemains current on and anticipates changes in product coverage and access knowledge, marketplace conditions, and stakeholder practices to deliver the most effective delivery of approved materialsUnderstands and adapts to the changing healthcare ecosystem to customize resourcing and messaging to HCPs and HCP staffRequired QualificationsBachelor's degree (preferably in healthcare or business/public administration). An advanced business degree (MBA), or public health (MPH)) is preferred.Minimum of 5 years of relevant professional experienceAccount Management and/or Reimbursement experience working in the provider office setting, building strong customer relationshipDemonstrated expertise with both pharmacy and medical/buy & bill benefit design, coding, billing, prior authorizations, office operations, and appeals processesReimbursement 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 organizationProblem-solving ability to navigate challenging access scenarios and identifies solutions in a timely and efficient mannerSuperior communication skills (written and verbal) and efficient follow-throughExperience in working with patient support HUB servicesValid US driver's license and a driving record in compliance with company standardsPermanent residence in the listed territoryPreferred QualificationsNeuroscience disease state experienceAdvanced degree and/or relevant certifications in prior authorization and/or billing and codingStrong market access acumen as it relates to payer approval processes and business acumenUnderstanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement of pharmaceutical and biotechnology productsExcellent technical knowledge and expertise in payer policy, including all elements of reimbursement (coding, coverage, and payment) is preferredDemonstrated competence with salesforce.com CRM use, Microsoft Word, and ExcelDemonstrated commitment to learning emerging technologies, such as AI, through exploration, iteration, and apply new tools over timeThis role involves traveling up to 75 % of the time.
Worksite address
charlotte, NC, 28202, US
Who can apply
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