Field Reimbursement Manager - Johnson & Johnson MedTech, Circulatory Restoration

Johnson & Johnson MedTech | Circulatory Restoration; Santa Clara (CA); Remote; USD 117,000 - 231,000; Full time

Benefits offered by this job

Remote-friendly

Job summary

Johnson & Johnson MedTech | Circulatory Restoration seeks a Field Reimbursement Manager to lead strategic reimbursement initiatives and enhance patient access for Shockwave Medical products. This role operates remotely across the United States, interfacing with physicians, payers, and field teams to overcome coding and coverage barriers.

The candidate will develop training, materials, and education on reimbursement topics, support NTAP and TPT rollouts, and work with Marketing to shape

Qualifications

• Bachelor’s degree in Business, or comparable experience in healthcare, insurance and/or reimbursement field with emphasis on coding, coverage, and payment issues.

Responsibilities

• Develop and implement reimbursement strategies aligned with Sales leadership to minimize coding, coverage and payment barriers.
• Provide input and assist in development of reimbursement materials and tools for customers and the field sales team.
• Identify educational needs of priority accounts and deliver training on coding, billing, and reimbursement.
• Conduct webinars for new and existing customers and track attendance.
• Collaborate with marketing on strategies addressing Government and Commercial payers influencing coding and reimbursement decisions.

Skills

Customer requirements

Market access strategies

Market analysis

Market research

Education

Bachelor’s degree in Business or healthcare/reimbursement

Job description

Job Function

Market Access

Job Sub Function

Health Economics Market Access

Job Category

Professional

All Job Posting Locations

Santa Clara, California, United States of America

Job Description

Johnson & Johnson is hiring for a Field Reimbursement Manager - Johnson & Johnson MedTech, Circulatory Restoration to join our team. The position is FULLY REMOTE and can sit anywhere in the US.

At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn more at https://www.jnj.com/.

Cardiovascular Solutions from Johnson & Johnson

Across Johnson & Johnson, we are tackling the world’s most complex and pervasive health challenges. Through a cardiovascular portfolio that provides healthcare professionals with advanced mapping and navigation, miniaturized tech, and precise ablation, we are addressing conditions with significant unmet needs such as heart failure, coronary and peripheral artery disease, stroke, and atrial fibrillation. We are the global leaders in heart recovery, circulatory restoration and the treatment of heart rhythm disorders, as well as an emerging leader in neurovascular care, committed to taking on two of the leading causes of death worldwide in heart failure and stroke. For more information on circulatory restoration, visit our website.

Position Overview

The Field Reimbursement Manager is responsible for contributing to the development and execution of strategic reimbursement initiatives that lead to improved patient and market access of Shockwave Medical products. This highly visible role will work with internal and external customers at the field level on strategic coding, coverage, and reimbursement issues across Shockwave’s portfolio of products.

Essential Job Functions

• Develop and implement reimbursement strategies and tactics aligned with Sales leadership that minimize or remove coding, coverage and payment barriers for Shockwave products and therapies.
• Provide input and assist in the development of reimbursement materials and tools for customers (Physicians, Coding Staff, etc.) and the field sales team.
• Identify the educational needs of priority accounts and work with approved Shockwave tools to provide relevant training and education on coding, billing, and reimbursement.
• Conduct webinars for new and existing customers (frequency to be determined and based on customer need). Track and report customer attendance.
• Work closely with field sales to fully execute field reimbursement education for approved new technology add-on payment (NTAP) and transitional pass-through (TPT) payment roll-out as required.
• Collaborate with Marketing colleagues on strategies that address the needs of key Government, Healthcare Agencies and Commercial Stakeholders, and that influence the economic and policy decisions on product coding and reimbursement.
• Identify key issues and trends with commercial and government payers. Determine and implement appropriate solutions.
• Provide consultative support as needed, at monthly Regulatory and International submission meetings.
• Develop monthly report of provider activities including regional trends and developments in support of quarterly updates to Senior Leadership.
• Ensure compliance with corporate and other regulatory requirements.
• Other duties as required.

Requirements

• Bachelor’s degree in Business, or comparable experience in healthcare, insurance and/or reimbursement field with particular emphasis on coding, coverage, and payment issues.
• 5-7 years reimbursement policy and/or payer experience within a medical device company, healthcare provider, or healthcare consulting firm; prefer at least 3 years field reimbursement experience.
• Working knowledge of health care economics, managed care and government payer business practices, health policy development, and advocacy.
• Established relationships with key national or regional payers a plus.
• Demonstrated ability to interpret and translate billing, coding, coverage, and payment information and communicate these concepts to all levels of the organization.

For Pay Info On Fully Remote Roles

US: $117,000 - $201,250 / Bay Area: $134,000 - $231,150

Johnson & Johnson is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by federal, state or local law. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act.

Johnson & Johnson is committed to providing an interview process that is inclusive of our applicants’ needs. If you are an individual with a disability and would like to request an accommodation, please contact us via https://www.jnj.com/contact-us/careers or contact AskGS to be directed to your accommodation resource.

• Previous involvement with NTAP and TPT programs a plus.
• Individual must be able to work in a fast paced and demanding environment, capable of managing high pressure situations with both internal and external customers.
• Ability to work independently and problem-solve with minimum supervision in a field-based role with significant visibility to sales leadership is critical.
• Strong analytic and investigative skills; able to get to the bottom of an issue.
• Ability to translate complex reimbursement information into easy to implement strategies and tactics through exceptional written and verbal communication.
• Strong organization, prioritization skills needed; incumbent must be detail and deadline oriented.
• Travel up to 50% may be required.

Required Skills

Customer Requirements, Market Access Strategies, Market Analysis, Market Research

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, Technical Credibility

The anticipated base pay range for this position is :

$134,000.00 - $231,150.00

Additional Description For Pay Transparency

Subject to the terms of their respective plans, employees are eligible to participate in the Company’s consolidated retirement plan (pension) and savings plan (401(k)).

This position is eligible to participate in the Company’s long-term incentive program.

Benefits

• Subject to the terms of their respective policies and date of hire, employees are eligible for the following time off benefits:
• Vacation –120 hours per calendar year
• Sick time - 40 hours per calendar year; for employees who reside in the State of Colorado –48 hours per calendar year; for employees who reside in the State of Washington –56 hours per calendar year
• 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/foster care of a child
• Bereavement Leave – 240 hours for an immediate family member: 40 hours for an extended family member per calendar year
• Caregiver Leave – 80 hours in a 52-week rolling period10 days
• Volunteer Leave – 32 hours per calendar year
• Military Spouse Time-Off – 80 hours per calendar year
• Additional information can be found through the link below.
• Co-Ops and Intern Positions: Please use the following language:
• Co-Ops/Interns are eligible to participate in Company sponsored employee medical benefits in accordance with the terms of the plan.
• Co-Ops and Interns are eligible for the following sick time benefits: up to 40 hours per calendar year; for employees who reside in the State of Washington, up to 56 hours per calendar year.
• Co-Ops and Interns are eligible to participate in the Company’s consolidated retirement plan (pension).
• Positions Represented by CBA: Please use the following language:
• This position is eligible for benefits to include medical, dental, vision and time off, as well as any others as provided for in the applicable Collective Bargaining Agreement.
• The following link to general company benefits information MUST also be included in the posting: Please use the following language:
• For additional general information on Company benefits, please go to: - https://www.careers.jnj.com/employee-benefits