Field Reimbursement Manager - Shockwave (East) Job at Johnson & Johnson MedTech, Santa Clara, CA

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  • Johnson & Johnson MedTech
  • Santa Clara, CA

Job Description

Field Reimbursement Manager – Shockwave (East) This 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. The role is highly visible and works with internal and external customers on strategic coding, coverage, and reimbursement issues. It supports patient access by providing expert reimbursement and access support to Office-Based Labs (OBLs) and physician practices, ensuring customers understand coverage, coding, and payment pathways, resolving access barriers, and helping facilities integrate appropriate reimbursement processes. Essential Job Functions 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. 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 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. 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. 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 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. Salary range: $117,000 – $201,250 . 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 under 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 & Johnson is committed to providing an interview process that is inclusive of applicants’ needs. If you are an individual with a disability and would like to request an accommodation, please email the Employee Health Support Center (ra‑employeehealthsup@its.jnj.com) or contact AskGS to be directed to your accommodation resource. #J-18808-Ljbffr Johnson & Johnson MedTech

Job Tags

Work at office, Local area,

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