Field Reimbursement Manager - Johnson & Johnson MedTech, Circulatory Restoration

Johnson & Johnson•Santa Clara, CA

8d•Remote

About The Position

Johnson & Johnson MedTech, Circulatory Restoration is hiring 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. The role works with internal and external customers in the field on strategic coding, coverage, and reimbursement issues across Shockwave’s portfolio. It 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 and tactics with Sales leadership, helps create reimbursement materials and tools, educates customers and sales teams, and addresses issues and trends with commercial and government payers. The position also collaborates with Marketing and other colleagues, supports regulatory and international submission meetings, reports provider activities and regional trends to Senior Leadership, and ensures compliance with corporate and regulatory requirements. The anticipated base pay range is $134,000–$231,150. The posting also lists a US range of $117,000–$201,250 and a Bay Area range of $134,000–$231,150. Eligible employees may participate in the company pension and 401(k) savings plan and long-term incentive program. Time-off benefits include vacation, sick time, holidays, work/personal/family time, parental leave, bereavement leave, caregiver leave, volunteer leave, and military spouse time-off, subject to applicable plan terms and policies.

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; 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 at 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 minimum supervision in a field-based role with significant visibility to Sales leadership.
Strong analytic and investigative skills.
Ability to translate complex reimbursement information into practical strategies and tactics through strong written and verbal communication.
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 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 for the field sales team.
Identify educational needs of priority accounts and use approved Shockwave tools to provide training and education on coding, billing, and reimbursement.
Conduct webinars for new and existing customers as needed and track and report customer attendance.
Work closely with field sales to execute field reimbursement education for approved new technology add-on payment (NTAP) and transitional pass-through (TPT) payment roll-outs 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 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, 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).
401(k) savings plan.
Long-term incentive program.
Vacation: 120 hours per calendar year.
Sick time: 40 hours per calendar year; 48 hours for Colorado employees and 56 hours for Washington employees.
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.