Director, Payer Relations

Job not on LinkedIn

7 hours ago

🏄 California – Remote

Although this job is listed in California, this company may be open to hiring remote in other states.

🐊 Florida – Remote

Although this job is listed in Florida, this company may be open to hiring remote in other states.

+5 more states

🏄 California – Remote 🐊 Florida – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🍂 Massachusetts – Remote 🔔 Pennsylvania – Remote 🤠 Texas – Remote

💵 $137k - $235.8k / year

⏰ Full Time

🔴 Lead

👔 Director

🦅 H1B Visa Sponsor

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Johnson & Johnson

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Healthcare Insurance • Pharmaceuticals • Biotechnology

Johnson & Johnson is a multinational corporation focused on innovating across multiple sectors of healthcare and medicine. With a commitment to redefining healthcare, the company merges science and technology to address complex diseases through its divisions in innovative medicine and medical technology. Its areas of focus include oncology, immunology, neuroscience, and specialty ophthalmology, as well as interventional solutions and orthopaedics. J&J is dedicated to advancing global health equity and environmental sustainability while fostering innovation, diversity, and inclusion in the workplace. The company strives to provide solutions that connect health and care for providers, patients, and communities worldwide.

10,000+ employees

Founded 1886

⚕️ Healthcare Insurance

💊 Pharmaceuticals

🧬 Biotechnology

📋 Description

• Develop and manage strategic relationships with national and regional health plans and other third-party payers. • Ensure that Shockwave Medical’s products are positioned favorably with payers, networks, and reimbursement structures. • Partner cross-functionally with members of the sales, marketing, and clinical affairs teams. • Lead the development and execution of national and regional payer coverage and reimbursement strategies. • Engage with third-party evidence review organizations • Develop and maintain strong relationships with target payers. • Develop relationships with Advisory Committee members and payer Medical Directors. • Influence policy development and engage with various coverage advisory groups. • Monitor payer coverage policies and analyze data to inform payer strategy. • Collaborate with Field Reimbursement Managers.

🎯 Requirements

• 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.

🏖️ Benefits

• medical, dental, vision, life insurance • short- and long-term disability • business accident insurance • group legal insurance • Company sponsored employee benefit programs: pension and 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