Field Reimbursement Manager – Shockwave
Johnson & Johnson
full-time
Posted on:
Location Type: Remote
Location: Remote • California, Missouri, New York • 🇺🇸 United States
Visit company websiteSalary
💰 $117,000 - $201,250 per year
Job Level
Mid-LevelSenior
About the role
- 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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
codingbillingreimbursementHCPCS codesCPT codesICD-10 codesprior authorizationclaim submissionpayment processeshealthcare economics
Soft skills
communicationproblem-solvinganalytical skillsorganizational skillsprioritizationindependencerelationship buildingtrainingcollaborationadaptability