Field Reimbursement Manager - Shockwave (East)

At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn more at https://www.jnj.com

Job Function:

Market Access

Job Sub Function:

Health Economics Market Access

Job Category:

Professional

All Job Posting Locations:

Michigan (Any City), New York, New York, United States, Santa Clara, California, United States of America

Job Description:

Johnson and Johnson is currently seeking the best talent for a Field Reimbursement Manager within the Johnson & Johnson MedTech organization.

About MedTech

Fueled by innovation at the intersection of biology and technology, we’re developing the next generation of smarter, less invasive, more personalized treatments.

Your unique talents will help patients on their journey to wellness. Learn more at https://www.jnj.com/medtech

This is a field-based remote role available in NY and MI region within the United States. While specific cities are listed in the Locations section for reference, please note that they are examples only and do not limit your application. We invite candidates from any location to apply.

Position Overview

The 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. This highly visible role will work with internal and external customers at the field level on strategic coding, coverage, and reimbursement issues. This position plays a key role in supporting patient access to our therapies and devices by providing expert reimbursement and access support to Office-Based Labs (OBLs) and physician practices. This role ensures that customers understand coverage, coding, and payment pathways; resolving access barriers; and helping facilities integrate appropriate reimbursement processes to support sustainable adoption across Shockwave’s portfolio of products

Essential Job Functions

1. 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.
   

2. 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.
   

3. 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 virtua