Field Reimbursement Manager - Johnson & Johnson MedTech, Circulatory Restoration

Johnson & Johnson • Santa Clara, CA

8d • Remote

About The Position

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

The manager partners with Sales leadership to develop reimbursement strategies and tactics, supports the creation of customer and sales-team materials, and delivers education to priority accounts. The role also collaborates with Marketing and other stakeholders on reimbursement policies and strategies, monitors payer issues and trends, and reports regional provider activity and developments to senior leadership. The employee must comply 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.
• 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.
• 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

• 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 include 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 and assist in 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 training and education on coding, billing, and reimbursement.
• Conduct webinars for new and existing customers based on customer need, and track and report customer 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 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, 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

• Company consolidated retirement plan (pension) and savings plan (401(k)), subject to plan terms.
• Eligible to participate in the long-term incentive program.
• Vacation: 120 hours per calendar year, subject to applicable policies and date of hire.
• Sick time: 40 hours per calendar year; 48 hours for Colorado residents and 56 hours for Washington residents, subject to applicable policies 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 the birth, adoption, or foster care of a child.
• 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