About The Position

Johnson & Johnson MedTech’s Circulatory Restoration team is seeking a Field Reimbursement Manager to contribute to the development and execution of strategic reimbursement initiatives that improve patient and market access to Shockwave Medical products. This highly visible, fully remote, field-based role works with internal and external customers on strategic coding, coverage, and reimbursement issues across Shockwave’s product portfolio. The role may be based anywhere in the United States and may require travel up to 50%.

Requirements

  • Bachelor’s degree in Business, or comparable experience in healthcare, insurance, and/or reimbursement, particularly coding, coverage, and payment issues.
  • 5–7 years of reimbursement policy and/or payer experience within a medical device company, healthcare provider, or healthcare consulting firm.
  • Working knowledge of healthcare economics, managed care and government payer business practices, health policy development, and advocacy.
  • Ability to interpret and translate billing, coding, coverage, and payment information and communicate these concepts at all organizational levels.
  • Ability to work in a fast-paced, demanding environment and manage high-pressure situations with internal and external customers.
  • Ability to work independently and solve problems with minimal supervision in a field-based role with significant visibility to Sales leadership.
  • Strong analytical and investigative skills.
  • Exceptional written and verbal communication skills, including the ability to translate complex reimbursement information into practical strategies and tactics.
  • Strong organizational and prioritization skills; detail- and deadline-oriented.
  • Travel up to 50% may be required.

Nice To Haves

  • At least 3 years of field reimbursement experience preferred.
  • Established relationships with key national or regional payers are a plus.
  • Previous involvement with NTAP and TPT programs is a plus.
  • Preferred skills: agility, coaching, commercial awareness, competitive landscape analysis, cross-functional collaboration, customer intelligence, global market knowledge, go-to-market strategies, health economics, health intelligence, market knowledge, market opportunity assessment, pricing strategies, process improvements, regulatory compliance, strategic change, strategic thinking, and technical credibility.

Responsibilities

  • Develop and implement reimbursement strategies and tactics aligned with Sales leadership to minimize or remove coding, coverage, and payment barriers for Shockwave products and therapies.
  • Provide input on, and assist with developing, reimbursement materials and tools for customers and the field sales team.
  • Identify priority accounts’ educational needs and use approved Shockwave tools to provide relevant coding, billing, and reimbursement training and education.
  • Conduct webinars for new and existing customers based on customer needs, and track and report attendance.
  • Work with field sales to execute reimbursement education for approved new technology add-on payment (NTAP) and transitional pass-through (TPT) payment rollouts as required.
  • Collaborate with Marketing colleagues on strategies addressing the needs of government, healthcare agency, and commercial stakeholders, and influencing product coding and reimbursement decisions.
  • Identify key issues and trends with commercial and government payers and determine and implement appropriate solutions.
  • Provide consultative support as needed at monthly Regulatory and International submission meetings.
  • Prepare monthly reports on provider activities, including regional trends and developments, to support quarterly updates to Senior Leadership.
  • Ensure compliance with corporate and other regulatory requirements.
  • Perform other duties as required.

Benefits

  • Participation in the company’s consolidated retirement plan (pension) and savings plan (401(k)), subject to plan terms.
  • Eligibility to participate in the company’s long-term incentive program.
  • Vacation: 120 hours per calendar year.
  • Sick time: 40 hours per calendar year, with different stated amounts for employees residing in Colorado or Washington.
  • 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 a child’s birth, adoption, or foster care placement.
  • Bereavement leave: 240 hours for an immediate family member and 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.
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