Director, Reimbursement & Payment Policy

Johnson & Johnson Innovative Medicine • Warsaw, IN

6d • $40 • Hybrid

About The Position

DePuy Synthes is seeking a strategic and experienced Director, Reimbursement and Payment Policy to lead enterprise-wide reimbursement strategy across the Orthopaedics portfolio. This leader will shape and execute coding, coverage, and payment policy strategies to ensure favorable market access conditions for current and pipeline products across joint reconstruction, trauma, spine, sports medicine, craniomaxillofacial, and digital surgery. The role requires strong policy expertise, external engagement, cross-functional collaboration, and the ability to translate policy into commercial advantage.

Requirements

• Minimum of ten years of progressive experience in reimbursement, payment policy, or market access within the medical device or MedTech industry.
• Deep expertise in Medicare and Medicaid reimbursement systems, CPT and HCPCS coding, Ambulatory Surgery Center and Hospital Outpatient Department payment methodologies, and commercial payer policy.
• Strong understanding of the orthopaedic, spine, and surgical technology landscape.
• Excellent communication, strategic thinking, and cross-functional collaboration skills.
• Proven ability to lead teams, influence senior stakeholders, and drive enterprise-level initiatives.
• Fluent in English required.
• Valid driver’s license required where applicable.

Nice To Haves

• Agility Jumps
• Commercial Awareness
• Competitive Landscape Analysis
• Customer Intelligence
• Global Market
• Go-to-Market Strategies
• Health Economics
• Health Intelligence
• Market Knowledge
• Market Opportunity Assessment
• Mentorship
• Pricing Strategies
• Regulatory Compliance
• Strategic Change
• Tactical Planning
• Technical Credibility

Responsibilities

• Lead the development and execution of enterprise reimbursement and payment policy strategies across all product categories, including coding applications, coverage determinations, and payment optimization.
• Define and own the long-term reimbursement roadmap for the Orthopaedics portfolio, anticipating market shifts and proactively positioning products for favorable access.
• Develop and maintain a comprehensive reimbursement risk assessment framework for pipeline and in-line products, integrating findings into portfolio planning and investment decisions.
• Provide strategic counsel to senior leadership, business unit heads, and cross-functional partners on reimbursement risks, opportunities, and implications for commercial strategy.
• Monitor and analyze changes in CMS, commercial payer, and regional reimbursement policies, translating implications into actionable business strategies for the Orthopaedics portfolio.
• Advance advocacy positions through trade association engagement and direct outreach to CMS and other policy-making/advisory bodies, including drafting and submitting comprehensive comment letters and supporting materials.
• Develop and maintain relationships with key external stakeholders including payer medical directors, specialty societies, and industry trade associations.
• Represent the organization at industry conferences, advisory boards, policy forums, and congressional briefings as a subject matter expert on orthopaedic reimbursement.
• Collaborate with Government Affairs, Legal, and Compliance to ensure alignment on policy positions, advocacy strategies, and lobbying activities.
• Partner with Health Economics and Epidemiology/RWE teams to develop evidence packages that support coverage and reimbursement submissions, including technology assessments and coverage with evidence development proposals.
• Contribute to the Target Product Profile process by ensuring reimbursement and payment considerations are embedded early in product development.
• Oversee the development of coding and reimbursement resources, tools, and training materials for field teams, sales representatives, and customers.
• Ensure reimbursement tools and resources are current, accurate, and compliant with all applicable regulations and guidelines.
• Partner with US HEMA to translate policy changes into actionable field strategies, customer communications, and competitive positioning.

Benefits

• Vacation –120 hours per calendar year
• Sick time - 40 hours per calendar year; for employees who reside in the State of Colorado –48 hours per calendar year; for employees who reside in the State of Washington –56 hours per calendar year
• 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 period10 days
• Volunteer Leave – 32 hours per calendar year
• Military Spouse Time-Off – 80 hours per calendar year

What This Job Offers

• Job Type: Full-time
• Career Level: Director