Johnson & Johnson MedTech
Director of Health Economics & Field Reimbursement - Shockwave
Johnson & Johnson MedTech, New York, New York, us, 10261
Johnson and Johnson is currently seeking the best talent for a Director of Health Economics and Field Reimbursement - Shockwave within the Johnson & Johnson MedTech organization.
This is a field-based remote role available in all states/cities 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.
Role Overview
We are seeking an experienced and dynamic Director of Health Economics and Field Reimbursement - Shockwave to lead our national team of Health Economics and Field Reimbursement Managers (FRMs). This individual will be a strategic leader responsible for designing, implementing, and scaling the field reimbursement strategy for our cutting-edge cardiovascular device portfolio. In addition, this person will be responsible for overseeing the health economics studies for cost effectiveness models, patient outcomes and developing economic models. The Director will play a pivotal role in ensuring patients and providers navigate complex reimbursement environments with ease—accelerating therapy adoption, improving patient access, and ensuring business success. Summary Of Key Responsibilities
Lead and support access and reimbursement initiatives for current and future products in the US. Advocate with KOLs, physician societies, and AMA on coding and RUC evaluation. Develop and execute a national field reimbursement strategy aligned with corporate objectives and payer dynamics. Serve as a senior leader within the Market Access team, contributing to pricing, access, coverage, and advocacy strategies. Collaborate closely with Sales Leadership to ensure alignment between field reimbursement and sales activities. Coding, Billing & Payment Specialism
Serve as the subject matter expert in procedural and diagnostic coding (ICD-10, CPT, HCPCS) relevant to Shockwave Medical cardiovascular devices. Provide strategic guidance on billing procedures, revenue cycle workflows, and coverage policies. Educate field teams and provider stakeholders on proper documentation and submission processes to ensure compliant reimbursement. Monitor emerging trends and updates in coding and payment policy at the federal and commercial payer levels. Stakeholder Engagement
Establish strong partnerships with internal cross-functional leaders (e.g., Sales, Marketing, Medical Affairs, Legal, Compliance). Serve as a key point of escalation for complex access challenges or escalated provider/payer issues. Role Requirements
Minimum 10+ years of professional experience, with 7+ years of work experience in implantable medical device market access/reimbursement industry, with specific responsibility/experience in obtaining coding, coverage and payment for new therapies in the US healthcare system. BS/BA degree required. Advanced degree (e.g., MS, MPH, or PhD) in health policy, health services research, public health, economics, or related discipline preferred. Previous experience in implantable medical device reimbursement, health economics and/or outcomes research and experience in commercialization of disruptive medical devices. Demonstrated knowledge of U.S. healthcare systems including expertise in reimbursement pathway development and technology assessment processes. Working acumen of healthcare systems and market access in major global markets. Experience working with/in CPT, HCPCS, RUC and CMS outpatient/inpatient preferred. Ability to effectively work and communicate across cultures and a breadth of functions/levels. Analytical competencies to structure complex issues, synthesize key points, communicate and present in an easily understandable manner. Strong organization and planning skills. Self-motivated with excellent time management skills. Ability to work effectively with minimum supervision essential. Ability to grow with the organization and demonstrate a willingness to assume additional responsibilities over time. Competence and credibility to build relationships of trust with physicians and associated professional staff at clinical centers. Strong communication, interpersonal and problem-solving skills. Ability to manage and deliver on multiple concurrent projects, including management of multiple consultants. Travel up to 40%. The anticipated base pay range for this position is: $197,000 - $317,400. 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.
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We are seeking an experienced and dynamic Director of Health Economics and Field Reimbursement - Shockwave to lead our national team of Health Economics and Field Reimbursement Managers (FRMs). This individual will be a strategic leader responsible for designing, implementing, and scaling the field reimbursement strategy for our cutting-edge cardiovascular device portfolio. In addition, this person will be responsible for overseeing the health economics studies for cost effectiveness models, patient outcomes and developing economic models. The Director will play a pivotal role in ensuring patients and providers navigate complex reimbursement environments with ease—accelerating therapy adoption, improving patient access, and ensuring business success. Summary Of Key Responsibilities
Lead and support access and reimbursement initiatives for current and future products in the US. Advocate with KOLs, physician societies, and AMA on coding and RUC evaluation. Develop and execute a national field reimbursement strategy aligned with corporate objectives and payer dynamics. Serve as a senior leader within the Market Access team, contributing to pricing, access, coverage, and advocacy strategies. Collaborate closely with Sales Leadership to ensure alignment between field reimbursement and sales activities. Coding, Billing & Payment Specialism
Serve as the subject matter expert in procedural and diagnostic coding (ICD-10, CPT, HCPCS) relevant to Shockwave Medical cardiovascular devices. Provide strategic guidance on billing procedures, revenue cycle workflows, and coverage policies. Educate field teams and provider stakeholders on proper documentation and submission processes to ensure compliant reimbursement. Monitor emerging trends and updates in coding and payment policy at the federal and commercial payer levels. Stakeholder Engagement
Establish strong partnerships with internal cross-functional leaders (e.g., Sales, Marketing, Medical Affairs, Legal, Compliance). Serve as a key point of escalation for complex access challenges or escalated provider/payer issues. Role Requirements
Minimum 10+ years of professional experience, with 7+ years of work experience in implantable medical device market access/reimbursement industry, with specific responsibility/experience in obtaining coding, coverage and payment for new therapies in the US healthcare system. BS/BA degree required. Advanced degree (e.g., MS, MPH, or PhD) in health policy, health services research, public health, economics, or related discipline preferred. Previous experience in implantable medical device reimbursement, health economics and/or outcomes research and experience in commercialization of disruptive medical devices. Demonstrated knowledge of U.S. healthcare systems including expertise in reimbursement pathway development and technology assessment processes. Working acumen of healthcare systems and market access in major global markets. Experience working with/in CPT, HCPCS, RUC and CMS outpatient/inpatient preferred. Ability to effectively work and communicate across cultures and a breadth of functions/levels. Analytical competencies to structure complex issues, synthesize key points, communicate and present in an easily understandable manner. Strong organization and planning skills. Self-motivated with excellent time management skills. Ability to work effectively with minimum supervision essential. Ability to grow with the organization and demonstrate a willingness to assume additional responsibilities over time. Competence and credibility to build relationships of trust with physicians and associated professional staff at clinical centers. Strong communication, interpersonal and problem-solving skills. Ability to manage and deliver on multiple concurrent projects, including management of multiple consultants. Travel up to 40%. The anticipated base pay range for this position is: $197,000 - $317,400. 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.
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