Field Reimbursement Manager – Shockwave

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.

🗽 New York – Remote

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

+1 more states

🏄 California – Remote 🗽 New York – Remote 🚗 Michigan – Remote

💵 $117k - $201.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

🦅 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

• 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.

🎯 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.

🏖️ Benefits

• medical • dental • vision • life insurance • short- and long-term disability • business accident insurance • group legal insurance • 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