Johnson & Johnson MedTech
Director, Payer Relations - Shockwave
Johnson & Johnson MedTech, Florida, New York, United States
Join as the
Director, Payer Relations - Shockwave
within Johnson & Johnson MedTech. This field‑based remote role is open to candidates across the United States.
Job Function Market Access
Job Sub Function Health Economics, Market Access
Job Category People Leader
Locations Dallas, Texas; Horsham, Pennsylvania; Irvine, California; New Brunswick, New Jersey; New York, New York; Palm Beach Gardens, Florida; Raynham, Massachusetts; Santa Clara, California; Titusville, New Jersey
Role Overview The Director of Payer Relations leads the development and management of strategic relationships with national and regional health plans and other third‑party payers. The role ensures that Shockwave Medical’s products are positioned favorably with payers, networks, and reimbursement structures to maximize patient access and organizational revenue. Cross‑functional collaboration with sales, marketing, and clinical affairs teams informs the long‑term evidence strategy required to obtain and maintain reimbursement in U.S. markets.
Key Responsibilities
Lead the development and execution of national and regional payer coverage and reimbursement strategies, including clinical data and publication requirements, health economics, and general value proposition models, to ensure successful payer negotiations, commercial viability, and improved patient access to covered IVL indications.
Engage with third‑party evidence review organizations to ensure up‑to‑date reviews of Shockwave clinical data and provide education and materials in support of positive conclusions from clinical literature.
Develop and maintain strong relationships with target payers and build a working knowledge of their key processes including medical policy, utilization review, health outcomes, risk management, provider contracting, and claims processing.
Develop relationships with advisory committee members and payer medical directors to support changes that reflect local medical practices.
Influence policy development such as new local coverage determinations (LCDs) and engage with various coverage advisory groups to enhance patient access.
Effectively leverage and communicate published literature and other evidence to payers, demonstrating IVL value that positively influences coverage policy development.
Monitor payer coverage policies, track review periods, and analyze data on medical review, prior authorization, and claims payment trends to inform payer strategy, tactics, and team priorities.
Collaborate with field reimbursement managers as needed for ongoing strategy execution.
Support clinical education with lead local physician advocates to influence payer coverage and medical review policies.
Improve effectiveness and focus of industry alliances, as needed, that support Medicare and commercial payer policy and patient access.
Provide internal and external voice‑of‑customer feedback to guide strategy development.
Develop programs to train sales representatives and key economic customers on reimbursement issues.
Perform other duties as assigned.
Qualifications
Bachelor’s degree in public policy, health economics, or life sciences required; master’s degree preferred.
7–10 years of healthcare coding, coverage, and reimbursement experience with medical devices; vascular or coronary experience is a plus.
Experience with complex reimbursement areas including Medicare and commercial payer policies and processes.
Demonstrated success in developing coverage for emerging technologies and influencing payer policies.
Strong understanding of clinical and economic data, coding, coverage, and payment issues.
Expertise in reimbursement principles across various healthcare settings (physician offices, hospitals, ambulatory surgery centers).
Willingness to travel 25–50% as required.
Excellent written and verbal communication skills.
Proficiency in Microsoft PowerPoint, Excel, and Word.
Base Pay Range Bay Area: $168,000 – $271,400 US Country Norm: $137,000 – $235,750
Pay Transparency Eligible for company‑sponsored employee benefit programs: medical, dental, vision, life insurance, short‑ and long‑term disability, business accident insurance, and group legal insurance. Eligible for the company’s consolidated retirement plan (pension) and savings plan (401(k)). Eligible for the company’s long‑term incentive program. Time‑off benefits include vacation, sick time, holiday pay, floating holidays, work‑personal and family time, parental leave, condolence leave, extended family leave, caregiver leave, volunteer leave, and military spouse time‑off. Detailed benefit information is available at
https://www.careers.jnj.com/employee-benefits .
Seniority Level Not Applicable
Employment Type Full‑time
Job Function Business Development and Sales
Industries Hospitals and Health Care
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Director, Payer Relations - Shockwave
within Johnson & Johnson MedTech. This field‑based remote role is open to candidates across the United States.
Job Function Market Access
Job Sub Function Health Economics, Market Access
Job Category People Leader
Locations Dallas, Texas; Horsham, Pennsylvania; Irvine, California; New Brunswick, New Jersey; New York, New York; Palm Beach Gardens, Florida; Raynham, Massachusetts; Santa Clara, California; Titusville, New Jersey
Role Overview The Director of Payer Relations leads the development and management of strategic relationships with national and regional health plans and other third‑party payers. The role ensures that Shockwave Medical’s products are positioned favorably with payers, networks, and reimbursement structures to maximize patient access and organizational revenue. Cross‑functional collaboration with sales, marketing, and clinical affairs teams informs the long‑term evidence strategy required to obtain and maintain reimbursement in U.S. markets.
Key Responsibilities
Lead the development and execution of national and regional payer coverage and reimbursement strategies, including clinical data and publication requirements, health economics, and general value proposition models, to ensure successful payer negotiations, commercial viability, and improved patient access to covered IVL indications.
Engage with third‑party evidence review organizations to ensure up‑to‑date reviews of Shockwave clinical data and provide education and materials in support of positive conclusions from clinical literature.
Develop and maintain strong relationships with target payers and build a working knowledge of their key processes including medical policy, utilization review, health outcomes, risk management, provider contracting, and claims processing.
Develop relationships with advisory committee members and payer medical directors to support changes that reflect local medical practices.
Influence policy development such as new local coverage determinations (LCDs) and engage with various coverage advisory groups to enhance patient access.
Effectively leverage and communicate published literature and other evidence to payers, demonstrating IVL value that positively influences coverage policy development.
Monitor payer coverage policies, track review periods, and analyze data on medical review, prior authorization, and claims payment trends to inform payer strategy, tactics, and team priorities.
Collaborate with field reimbursement managers as needed for ongoing strategy execution.
Support clinical education with lead local physician advocates to influence payer coverage and medical review policies.
Improve effectiveness and focus of industry alliances, as needed, that support Medicare and commercial payer policy and patient access.
Provide internal and external voice‑of‑customer feedback to guide strategy development.
Develop programs to train sales representatives and key economic customers on reimbursement issues.
Perform other duties as assigned.
Qualifications
Bachelor’s degree in public policy, health economics, or life sciences required; master’s degree preferred.
7–10 years of healthcare coding, coverage, and reimbursement experience with medical devices; vascular or coronary experience is a plus.
Experience with complex reimbursement areas including Medicare and commercial payer policies and processes.
Demonstrated success in developing coverage for emerging technologies and influencing payer policies.
Strong understanding of clinical and economic data, coding, coverage, and payment issues.
Expertise in reimbursement principles across various healthcare settings (physician offices, hospitals, ambulatory surgery centers).
Willingness to travel 25–50% as required.
Excellent written and verbal communication skills.
Proficiency in Microsoft PowerPoint, Excel, and Word.
Base Pay Range Bay Area: $168,000 – $271,400 US Country Norm: $137,000 – $235,750
Pay Transparency Eligible for company‑sponsored employee benefit programs: medical, dental, vision, life insurance, short‑ and long‑term disability, business accident insurance, and group legal insurance. Eligible for the company’s consolidated retirement plan (pension) and savings plan (401(k)). Eligible for the company’s long‑term incentive program. Time‑off benefits include vacation, sick time, holiday pay, floating holidays, work‑personal and family time, parental leave, condolence leave, extended family leave, caregiver leave, volunteer leave, and military spouse time‑off. Detailed benefit information is available at
https://www.careers.jnj.com/employee-benefits .
Seniority Level Not Applicable
Employment Type Full‑time
Job Function Business Development and Sales
Industries Hospitals and Health Care
#J-18808-Ljbffr