Field Reimbursement Manager - Johnson & Johnson MedTech, Circulatory Restoration

Johnson & Johnson Innovative Medicine • Santa Clara, CA

9d • $134,000 - $231,150 • Remote

About The Position

Johnson & Johnson MedTech, Circulatory Restoration 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 field-based role works with internal and external customers on strategic coding, coverage, and reimbursement issues across Shockwave’s portfolio. The position is fully remote and may be based anywhere in the United States, with travel of up to 50% potentially required.

The manager develops reimbursement strategies with Sales leadership, supports reimbursement materials and customer education, and advises on coding, billing, coverage, and payment issues. The role collaborates with Sales, Marketing, and other colleagues, monitors payer issues and regional developments, and ensures compliance with corporate and regulatory requirements.

Requirements

• Bachelor’s degree in Business, or comparable experience in healthcare, insurance, and/or reimbursement, particularly in 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; at least 3 years of field reimbursement experience is preferred.
• 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 to all levels of the organization.
• 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 visible field-based role.
• 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 organization and prioritization skills; detail- and deadline-oriented.
• Travel up to 50% may be required.

Nice To Haves

• Established relationships with key national or regional payers.
• Previous involvement with NTAP and TPT programs.
• Preferred skills: Agility Jumps, Coaching, Commercial Awareness, Competitive Landscape Analysis, Cross-Functional Collaboration, Customer Intelligence, Global Market, 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 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, including physicians and coding staff, and for the field sales team.
• Identify educational needs at priority accounts and use approved Shockwave tools to provide training on coding, billing, and reimbursement.
• Conduct webinars for new and existing customers according to 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 on strategies addressing the needs of government, healthcare agency, and commercial stakeholders, and influencing economic and policy decisions on product coding and reimbursement.
• Identify 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.
• Develop monthly reports on provider activities, 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 for the Company’s long-term incentive program.
• Vacation: 120 hours per calendar year, subject to applicable policy and date of hire.
• Sick time: 40 hours per calendar year, with higher amounts for employees residing in Colorado or Washington, subject to applicable policy and date of hire.
• 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.

What This Job Offers

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