обновлено 2 дня назад
Field Reimbursement Manager (Neuroscience)
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Field Reimbursement Manager (Neuroscience): Supporting healthcare providers and office staff with reimbursement education, patient access, fulfillment, and affordability solutions for neuroscience therapies with an accent on payer policies, coding, claims, prior authorizations, and appeals. Focus on solving complex access barriers, analyzing coverage and reimbursement data, building provider relationships, and coordinating field support across a California territory.
Location: San Francisco, California, United States; territory includes Sacramento, Fresno, and San Jose. Permanent residence in the listed territory is required. Field-based work includes up to 50% on-site time with healthcare providers and up to 75% travel.
Company
Johnson & Johnson MedTech develops healthcare solutions and medicines, with the Patient Engagement and Customer Solutions organization focused on improving patient access and treatment support.
What you will do
- Educate healthcare providers and office staff on reimbursement processes, claims submission, coding, payer procedures, and access requirements.
- Provide field-based support for patient access, fulfillment, reimbursement, and affordability issues.
- Collaborate with sales representatives, key account managers, managed care colleagues, and internal medical, marketing, compliance, and patient-support teams.
- Use account management, market data, and payer insights to identify and resolve access barriers.
- Build trusted relationships across assigned accounts and manage territory routing, logistics, and business planning.
- Maintain expertise in pharmacy and medical benefits, hub services, specialty distribution, and payer coverage dynamics.
Requirements
- Bachelor’s degree, preferably in healthcare, business, or public administration.
- Minimum 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, appeals, and revenue-cycle processes.
- Experience working with patient support HUB services and building relationships with healthcare providers.
- Strong analytical, problem-solving, communication, collaboration, and influencing skills.
- Valid US driver’s license, compliant driving record, and permanent residence in the listed California territory are required.
Nice to have
- Neuroscience disease-state experience.
- Advanced degree or certifications in prior authorization, billing, or coding.
- Knowledge of Medicare, Medicaid, commercial payer initiatives, and pharmaceutical reimbursement policies.
- Experience with Salesforce, Microsoft Word, and Excel.
- Interest in emerging technologies such as AI.
Culture & Benefits
- Work in a patient-focused healthcare environment supporting treatment access and adherence.
- Operate within a cross-functional and matrix organization.
- Execute responsibilities under strict ethical, legal, and compliance standards.
- Travel throughout the assigned California territory, with up to 75% travel required.
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