Director, Payer Relations
Johnson & Johnson
full-time
Posted on:
Location Type: Remote
Location: Remote • California, Florida, Massachusetts, New Jersey, New York, Pennsylvania, Texas • 🇺🇸 United States
Visit company websiteSalary
💰 $137,000 - $235,750 per year
Job Level
Lead
About the role
- 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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
healthcare codingcoveragereimbursementclinical data analysiseconomic data analysisreimbursement principlesMedicare policiescommercial payer policiesemerging technologies coveragepayer policy influence
Soft skills
relationship managementcross-functional collaborationpolicy developmentcommunication skillsstrategic thinkinginfluencing skillsdata analysisteam leadershipnegotiation skillsproblem-solving