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 is hiring a Field Reimbursement Manager for Johnson & Johnson MedTech, Circulatory Restoration. This fully remote role may be based anywhere in the United States. The manager contributes to the development and execution of strategic reimbursement initiatives to improve patient and market access to Shockwave Medical products. Working with internal and external customers at the field level, the role addresses strategic coding, coverage, and reimbursement issues across Shockwave’s product portfolio.

The position partners with Sales, Marketing, customers, and other stakeholders to develop reimbursement strategies, provide education, identify payer issues and trends, and support product coding and payment initiatives. Travel of up to 50% may be required.

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 it to all levels of an 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.
• 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

• At least 3 years of field reimbursement experience preferred.
• Established relationships with key national or regional payers.
• Previous involvement with NTAP and TPT programs.

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 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 relevant training and education on coding, billing, and reimbursement.
• 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 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)
• 401(k) savings plan
• Long-term incentive program
• Vacation: 120 hours per calendar year
• Sick time: 40 hours per calendar year, with different amounts for eligible employees in Colorado and 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 birth, adoption, or foster care placement
• Bereavement leave
• 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