Field Reimbursement Manager Shockwave (East)

At Johnson & Johnsonwe believe health is everything. Our strength in healthcare innovation empowers us to build aworld where complex diseases are prevented treated and curedwhere treatments are smarter and less invasive andsolutions are 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 more at

Job Function:

Market Access

Job Sub Function:

Health Economics Market Access

Job Category:

Professional

All Job Posting Locations:

Michigan (Any City) New York New York United States Santa Clara California United States of America

Job Description:

Johnson and Johnson is currently seeking the best talent for a Field Reimbursement Manager within the Johnson & Johnson MedTech organization.

About MedTech

Fueled by innovation at the intersection of biology and technology were developing the next generation of smarter less invasive more personalized treatments.

Your unique talents will help patients on their journey to wellness. Learn more at is a field-based remote role available in NY and MI region within the United States. While specific cities are listed in the Locations section for reference please note that they are examples only and do not limit your application. We invite candidates from any location to apply.

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. This position plays a key role in supporting patient access to our therapies and devices by providing expert reimbursement and access support to Office-Based Labs (OBLs) and physician practices. This role ensures that customers understand coverage coding and payment pathways; resolving access barriers; and helping facilities integrate appropriate reimbursement processes to support sustainable adoption across Shockwaves portfolio of products

Essential Job Functions

1. Reimbursement Tools & Materials

• Provide input and assist in developing reimbursement materials and tools for customers (Physicians Coding Staff Administrators etc.) and the field sales team.

• Identify educational needs of priority accounts and use approved Shockwave tools to deliver relevant training and education on coding billing and reimbursement.

• Develop a monthly report of provider activities including regional trends and developments to support quarterly updates to Senior Leadership.
  

2. Reimbursement and Access Support

• 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.

• Serve as the primary field-based expert for reimbursement coding and coverage related to the companys portfolio in the OBL setting.

• Educate OBL administrators billing managers and healthcare providers on correct use of HCPCS CPT ICD-10 codes modifiers and documentation requirements.

• Support customers in navigating Medicare Medicaid and commercial payer coverage policies and prior-authorization requirements.

• Provide one-on-one and group training on prior authorization claim submission appeals and payment processes.

• Identify triage and resolve access barriers in collaboration with internal reimbursement support teams.

• Identify key issues and trends with commercial and government payers; determine and implement appropriate solutions.

• Conduct webinars for new and existing customers (frequency based on customer need) and track/report attendance.
  

3. Field Education and Relationship Management

• Partner with sales marketing and clinical teams to ensure a seamless customer experience and compliance.

• Build and maintain strong relationships with OBL administrators billing leads and payer representatives; ensure tracking through CRM systems.

• Deliver in-person and virtual reimbursement workshops and policy update sessions.

• Monitor and communicate payer landscape changes relevant to the OBL/ASC site of service.
  

4. Cross-Functional Collaboration

• Collaborate with Market Access Health Economics Medical Affairs and Compliance teams.

• Provide field insights on reimbursement trends and OBL operational models.

• Work with Marketing colleagues on strategies addressing the needs of key Government Healthcare Agencies and Commercial Stakeholders influencing economic and policy decisions on product coding and reimbursement.

• Participate in initiatives supporting new product launches coding applications and payment advocacy efforts.

• Perform other duties as required.

• Ensure compliance with corporate and regulatory requirements.
  

Requirements

• Bachelors degree in Business Economics or a health-related subject.

• Experience in healthcare insurance and/or reimbursement field with emphasis on coding coverage and payment issues; medical device experience preferred.

• 57 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 in an OBL setting.

• 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 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 problem-solve with minimal supervision in a field-based role with significant visibility to sales leadership.

• Strong analytic and investigative skills; able to resolve complex issues.

• Ability to translate complex reimbursement information into actionable strategies and tactics through exceptional written and verbal communication.

• Strong organizational and prioritization skills; detail- and deadline-oriented.

• Travel up to 50% may be required.

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 and 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 email the Employee Health Support Center () or contact AskGS to be directed to your accommodation resource.

Required Skills:

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 :

$117000 - $201250

Additional Description for Pay Transparency:

Subject to the terms of their respective plans employees and/or eligible dependents are eligible to participate in the following Company sponsored employee benefit programs: medical dental vision life insurance short- and long-term disability business accident insurance and group legal insurance. Subject to the terms of their respective plans employees are eligible to participate in the Companys consolidated retirement plan (pension) and savings plan (401(k)). This position is eligible to participate in the Companys long-term incentive program. 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 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 Condolence Leave 30 days for an immediate family member: 5 days for an extended family member Caregiver Leave 10 days Volunteer Leave 4 days Military Spouse Time-Off 80 hours Additional information can be found through the link below. Experience:

Manager