Associate Director, US HEMA & Reimbursement
Johnson & Johnson Innovative Medicine•Washington, DC
•$122,000 - $212,750•Hybrid
About The Position
The Associate Director, US Reimbursement, Market Access & Health Policy is accountable for developing and executing U.S. reimbursement, coding, and health policy strategies that support sustainable patient access to Impella Heart Recovery therapies. This role serves as a strategic leader across reimbursement policy, clinical trial coverage, and market access—working in close partnership with Field Reimbursement Solutions, Medical Affairs, Strategic Marketing, Health Economics & Data Science, and Commercial teams.
Requirements
- Deep expertise in the U.S. healthcare payer system, including CMS inpatient, outpatient, and physician payment structures.
- Strong experience with healthcare claims, billing databases, and payer policy analysis.
- Proven ability to operate effectively in complex, matrixed organizations.
- Excellent written and verbal communication skills; ability to translate complexity into actionable guidance.
- Minimum 5 years of MedTech experience, with demonstrated reimbursement and/or health policy leadership.
- Bachelor’s degree in life sciences, health economics, health policy, or related field.
Nice To Haves
- Master’s degree (MPH, MHA, MS, MBA, or equivalent).
- Prior experience supporting clinical trial reimbursement and policy‑driven innovation pathways.
Responsibilities
- Manage U.S. reimbursement strategy across inpatient, outpatient, physician, and clinical trial settings for Impella products and services.
- Protect and enhance reimbursement pathways while proactively addressing competitive, policy, and payment risks.
- Provide expert guidance on coding, billing, and coverage to internal teams and external stakeholders.
- Interpret CMS / MAC and commercial payer policies to inform long‑term access strategies.
- Analyze complex claims, Medicare, and third‑party data to assess policy impact and reimbursement performance.
- Review and translate clinical and economic evidence into clear reimbursement positioning.
- Serve as a reimbursement subject‑matter expert to cross‑functional partners, including Medical Office, Regulatory, Strategic Marketing, HEMA, Field Reimbursement, and Commercial teams.
- Engage with physician societies, coding organizations, and health policy stakeholders to support coding, coverage, and advocacy initiatives.
- Partner closely with the Director of US Field Reimbursement Solutions to ensure consistent, high‑quality guidance in the field.
- Build a purpose‑driven environment aligned with the Johnson & Johnson Credo and Leadership Imperatives.
- Influence without authority in a highly matrixed environment.
Benefits
- Annual performance bonus
- Consolidated retirement plan (pension)
- Savings plan (401(k))
- Long-term incentive program
- Vacation –120 hours per calendar year
- Sick time - 40 hours per calendar year (varies by state)
- 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
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Upload and Match Resume
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
