Orthopaedics Reimbursement Policy Manager (Remote)

Johnson & Johnson MedTech

Raynham (MA)

Hybrid

USD 102,000 - 177,000

Full time

33 hours ago
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Benefits offered by this job

Vacation 120 hours
Sick time 40 hours
Holiday pay
Work, Personal and Family Time 40h
Parental Leave 480 hours
Bereavement Leave 240h
Volunteer Leave 32h
Military Spouse Time-Off 80h

Job summary

Johnson & Johnson MedTech is seeking a Manager, Reimbursement and Payment Policy to join our Orthopaedics team. You will develop payment policy strategy across Medicare systems, guide coding and coverage decisions, and lead field education and vendor oversight.

This is an individual contributor role requiring 5–10 years in reimbursement or health policy, with strong analytical, writing, and cross-functional collaboration skills; remote or case-by-case onsite options may apply.

Qualifications

  • 5–10 years of relevant experience in reimbursement, health policy, market access, or healthcare consulting, preferably in the medical device or life sciences industry.
  • Working knowledge of U.S. reimbursement systems, including Medicare payment structures and coding frameworks (CPT, HCPCS, ICD-10-CM/PCS).
  • Experience interpreting CMS regulations and translating them into business implications and written materials such as comment letters or briefs.

Responsibilities

  • CMS Payment Policy Support: Develop and execute payment policy strategy for the Orthopaedics portfolio across Medicare systems.
  • Policy Monitoring & Analysis: Track CMS rules, Medicaid and payer policy updates and summarize implications.
  • Reimbursement Hotline & Vendor Management: Manage day-to-day hotline operations and vendor relationships.
  • Coding Guides, Reimbursement Tools & Field Education: Lead updates of guides, FAQs, and training materials.
  • External Engagement & Advocacy Support: Draft materials for CMS engagements and stakeholder interactions.
  • Cross-Functional Collaboration & Evidence Integration: Partner with Health Economics and Regulatory teams to support reimbursement strategies.

Skills

CMS payment policy
Reimbursement strategy
Policy monitoring
Cross-functional collaboration
Vendor management
Project management

Education

Bachelor’s degree in Health Policy, Health Economics, Public Health, Business, or related field

Job description

Johnson & Johnson MedTech is seeking a Manager, Reimbursement and Payment Policy to join our Orthopaedics team. You will develop payment policy strategy across Medicare systems, guide coding and coverage decisions, and lead field education and vendor oversight.

This is an individual contributor role requiring 5–10 years in reimbursement or health policy, with strong analytical, writing, and cross-functional collaboration skills; remote or case-by-case onsite options may apply.

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