обновлено 59 минут назад
Field Reimbursement Manager, Neuroscience (Birmingham, AL) – Patient Engagement & Customer Solutions (PECS)
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Описание вакансии
Текст:
TL;DR
Field Reimbursement Manager, Neuroscience (Patient Engagement & Customer Solutions): Supporting healthcare providers and office staff with reimbursement education, access issue resolution, and patient fulfillment for neuroscience therapies with an accent on payer policies, coding, prior authorization, and appeals. Focus on analyzing complex access barriers, coordinating with cross-functional healthcare stakeholders, and providing field-based support across a multi-city territory.
Location: Field-based role in Birmingham, Alabama, with a territory covering Birmingham, Jackson, Montgomery, and Mobile; permanent residence in the listed territory is required. Travel up to 75% of the time, with up to 50% of working time spent on-site with healthcare providers and their staff.
Company
Johnson & Johnson MedTech develops healthcare and pharmaceutical solutions designed to improve patient treatment and access.
What you will do
- Educate healthcare providers and office staff on reimbursement processes, claims, coding, payer procedures, and access requirements.
- Resolve patient access, fulfillment, affordability, prior authorization, billing, and appeals issues.
- Collaborate with sales representatives, key account managers, managed care colleagues, and internal J&J functions.
- Analyze account and market data to identify access barriers and develop timely solutions.
- Build trusted relationships with customers and manage territory routing, logistics, and account planning.
- Maintain expertise in payer policies, coverage, coding, payment, hub services, and specialty distribution channels.
Requirements
- Bachelor’s degree, preferably in healthcare, business, or public administration.
- At least 5 years of relevant professional experience in reimbursement, account management, managed care, or provider-office operations.
- Expertise in pharmacy and medical benefits, buy-and-bill, coding, billing, prior authorization, and appeals.
- Experience working with patient support HUB services and building relationships with healthcare providers.
- Strong analytical, communication, collaboration, influence, and problem-solving skills.
- Valid US driver’s license, compliant driving record, and permanent residence in the listed territory are required.
Nice to have
- Neuroscience disease-state experience.
- Advanced degree or certifications in prior authorization, billing, or coding.
- Knowledge of Medicare, Medicaid, private payer initiatives, and pharmaceutical reimbursement.
- Experience with Salesforce, Microsoft Word, and Excel.
- Interest in emerging technologies such as AI.
Culture & Benefits
- Work within a patient-focused Patient Engagement and Customer Solutions organization.
- Collaborate across a matrix organization while following strict ethical, legal, and compliance standards.
- Complete required training and maintain current knowledge of changing healthcare and payer environments.
- Support personalized and seamless patient experiences throughout the treatment journey.
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