Johnson & Johnson MedTech
Director of Health Economics & Field Reimbursement - Shockwave
Johnson & Johnson MedTech, Horsham, Pennsylvania, United States, 19044
Director of Health Economics & Field Reimbursement - Shockwave
Johnson & Johnson is seeking a Director of Health Economics and Field Reimbursement - Shockwave to lead the national team of Health Economics and Field Reimbursement Managers. This individual will be responsible for designing, implementing, and scaling the field reimbursement strategy for the cardiovascular device portfolio. The role demands deep expertise in access and reimbursement, strong leadership, and the ability to interface cross-functionally across Commercial, Market Access, Sales, Clinical, Legal, and Medical Affairs teams. 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. Role Overview The Director of Health Economics and Field Reimbursement is responsible for directing and executing the overall US field reimbursement strategy for Shockwave’s existing and future products. The individual has in-depth expertise in developing and implementing strategic and tactical health economic and reimbursement initiatives in the US. 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. Summary Of Key Responsibilities Field Reimbursement Strategy 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. 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.
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Johnson & Johnson is seeking a Director of Health Economics and Field Reimbursement - Shockwave to lead the national team of Health Economics and Field Reimbursement Managers. This individual will be responsible for designing, implementing, and scaling the field reimbursement strategy for the cardiovascular device portfolio. The role demands deep expertise in access and reimbursement, strong leadership, and the ability to interface cross-functionally across Commercial, Market Access, Sales, Clinical, Legal, and Medical Affairs teams. 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. Role Overview The Director of Health Economics and Field Reimbursement is responsible for directing and executing the overall US field reimbursement strategy for Shockwave’s existing and future products. The individual has in-depth expertise in developing and implementing strategic and tactical health economic and reimbursement initiatives in the US. 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. Summary Of Key Responsibilities Field Reimbursement Strategy 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. 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.
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