Field Reimbursement Manager OBL - Johnson & Johnson MedTech, Circulatory Restoration

Johnson & Johnson Innovative Medicine•Boston, MA
•$134,000 - $231,150•Remote

About The Position

Johnson & Johnson MedTech’s Circulatory Restoration team is hiring a fully remote Field Reimbursement Manager, who may be based anywhere in the United States. The role contributes to the development and execution of strategic reimbursement initiatives to improve patient and market access to Shockwave Medical products. It works with internal and external customers at the field level on strategic coding, coverage, and reimbursement issues across Shockwave’s product portfolio. The manager partners with Sales leadership, field sales, Marketing, and other stakeholders to address reimbursement barriers and support customer education. The role also identifies payer issues and trends, provides consultative support for regulatory and international submissions, reports on provider activities and regional developments, and ensures compliance with corporate and regulatory requirements. Travel of up to 50% may be required.

Requirements

  • Bachelor’s degree in Business, or comparable experience in healthcare, insurance, and/or reimbursement, particularly involving 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 it 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 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 organization and prioritization skills; detail- and deadline-oriented.
  • Required skills listed: Customer Requirements, Data Driven Modeling, Market Access Strategies, Market Analysis, and Research Insights.
  • 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.
  • Previous involvement with NTAP and TPT programs.
  • Preferred skills listed: 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 aligned with Sales leadership to minimize or remove coding, coverage, and payment barriers for Shockwave products and therapies.
  • Provide input into and assist with developing reimbursement materials and tools for customers, including physicians and coding staff, and the field sales team.
  • Identify educational needs at priority accounts and use approved Shockwave tools to provide relevant training on coding, billing, and reimbursement.
  • Conduct webinars for new and existing customers as needed 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 key government, healthcare agency, and commercial stakeholder needs, and influencing economic and policy decisions on product coding and reimbursement.
  • 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.
  • 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

  • Company 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.
  • Sick time: 40 hours per calendar year; 48 hours for Colorado residents and 56 hours for Washington residents.
  • 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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