Field Reimbursement Manager - Johnson & Johnson MedTech, Circulatory Restoration
About The Position
Johnson & Johnson is hiring a Field Reimbursement Manager for Johnson & Johnson MedTech, Circulatory Restoration. This is a fully remote, field-based position that can be located anywhere in the United States, with travel of up to 50% potentially required. The role contributes to developing and executing strategic reimbursement initiatives to improve patient and market access for Shockwave Medical products. It works with internal and external customers on strategic coding, coverage, and reimbursement issues across the Shockwave portfolio. The manager develops reimbursement strategies and tactics with Sales leadership to minimize or remove coding, coverage, and payment barriers. The role also supports reimbursement materials and tools, educates priority accounts and field sales teams, conducts customer webinars, and collaborates with Marketing and other teams on policy and stakeholder needs. The manager 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.
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 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.
- 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 and assist in developing reimbursement materials and tools for customers, including physicians and coding staff, and the field sales team.
- Identify the educational needs of priority accounts and provide relevant training and education on coding, billing, and reimbursement using approved Shockwave tools.
- Conduct webinars for new and existing customers as appropriate 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 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) and 401(k) savings plan, subject to plan terms.
- Eligibility to participate in the Company’s long-term incentive program.
- Vacation: 120 hours per calendar year.
- Sick time: 40 hours per calendar year, with specified higher 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 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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What This Job Offers
Job Type
Full-time
Career Level
Senior
