Johnson & Johnson MedTech · 1 day ago
Field Reimbursement Manager - Shockwave (East)
New York, NY
Full-time
Hybrid
Mid, Senior Level
$117K/yr - $201K/yr
5+ years expJohnson & Johnson MedTech is a leader in healthcare innovation, dedicated to developing personalized treatments. The Field Reimbursement Manager will contribute to strategic reimbursement initiatives, ensuring patient access to Shockwave Medical products by providing expert support and education to healthcare providers.
Hospital & Health Care
Responsibilities
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
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 company’s 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
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
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
Qualification
Required
Bachelor's 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
5–7 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
Preferred
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
Benefits
Medical
Dental
Vision
Life insurance
Short- and long-term disability
Business accident insurance
Group legal insurance
Company’s consolidated retirement plan (pension)
Savings plan (401(k))
Long-term incentive program
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
Company
Johnson & Johnson MedTech
At Johnson & Johnson MedTech, we are working to solve the world’s most pressing healthcare challenges through innovations at the intersection of biology and technology.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Mike Walker
CFO & VP of Finance DePuy Synthes
Tino Schweighoefer, MBA
CFO Monarch Platform
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