Director of Health Economics and Field Reimbursement

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:

People Leader

All Job Posting Locations:

Dallas, Texas, United States, Horsham, Pennsylvania, United States of America, Irvine, California, United States of America, New Brunswick, New Jersey, United States of America, New York, New York, United States, Palm Beach Gardens, Florida, United States of America, Raynham, Massachusetts, United States of America, Santa Clara, California, United States of America, Titusville, New Jersey, United States of America

Job Description:

Johnson and Johnson is currently seeking the best talent for a Director of Health Economics and Field Reimbursement - Shockwave within the Johnson & Johnson MedTech organization.

This is a field-based remote role available in all states/cities 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.

Role Overview
We are seeking an experienced and dynamic Director of Health Economics and Field Reimbursement - Shockwave to lead our national team of Health Economics and Field Reimbursement Managers (FRMs). This individual will be a strategic leader responsible for designing, implementing, and scaling the field reimbursement strategy for our cutting-edge cardiovascular device portfolio. In addition, this person will be responsible for overseeing the health economics studies for cost effectiveness models, patient outcomes and developing economic models. The role demands deep expertise in access and reimbursement, strong leadership, and the ability to interface cross-functionally across Commercial, Market Access, Sales, Clinical, Legal, and Medical Affairs teams. The Director will play a pivotal role in ensuring patients and providers navigate complex reimbursement environments with ease—accelerating therapy adoption, improving patient access, and ensuring business success.

The Director of Health Economics and Field Reimbursement is responsible for directing and executing the overall US field reimbursement strategy for Shockwave’s existing and future products. The individual has in-depth expertise in developing and implementing strategic and tactical health economic and reimbursement initiatives in the US. Candidates should have a proven track record of success, including direct contributions in securing access for novel technologies, participation within the CMS rule making process, and a legacy of strategy development within the medical device market. The role will also incorporate communication to, and with, third party payers, government entities and other partners and trade associations.

Strong capabilities in areas such as influence, communication, collaboration and partnership working are critical to this position. The individual is highly skilled at developing relationships and experience working with KOLs, physician specialty societies, sales teams and senior management. Reporting directly to the Sr. Director of Market Access and Reimbursement, this person will be in a highly visible and critical role as we launch new products and applications for IVL in the United States.

Summary of Key Responsibilities

Field Reimbursement Strategy

• Lead and support access and reimbursement initiatives for current and future products in the US.

• Advocate with KOLs, physician societies, and AMA on coding and RUC evaluation.

• Develop and execute a national field reimbursement strategy aligned with corporate objectives and payer dynamics.

• Serve as a senior leader within the Market Access team, contributing to pricing, access, coverage, and advocacy strategies.

• Collaborate closely with Sales Leadership to ensure alignment between field reimbursement and sales activities.
   

Coding, Billing & Payment Specialism

• Serve as the subject matter expert in procedural and diagnostic coding (ICD-10, CPT, HCPCS) relevant to Shockwave Medical cardiovascular devices.

• Provide strategic guidance on billing procedures, revenue cycle workflows, and coverage policies.

• Educate field teams and provider stakeholders on proper documentation and submission processes to ensure compliant reimbursement.

• Monitor emerging trends and updates in coding and payment policy at the federal and commercial payer levels.
   

Stakeholder Engagement

• Establish strong partnerships with internal cross-functional leaders (e.g., Sales, Marketing, Medical Affairs, Legal, Compliance).

• Serve as a key point of escalation for complex access challenges or escalated provider/payer issues.
   

Lead Health Economics and Field Reimbursement

Insights & Analytics

• Analyze field feedback to drive continuous improvement in strategy, tools, and training.

• Use denials data to drive regional approaches and address regional hotspots.

• Deliver regular performance updates to senior leadership and recommend corrective actions.
   

Team Leadership

• Hire, train, and lead a high-performing team of FRMs across the U.S.

• Set performance goals, establish KPIs, and oversee execution of territory-level access initiatives.

• Provide coaching, mentorship, and development planning for team members.
   

Cross-Functional Partnership

• Partner closely with sales, marketing, clinical, and other key functions to ensure alignment on field reimbursement strategy and execution.
   

Consultant & Project Management

• Manage multiple global consultants and projects to support strategic access initiatives.
   

Educational Tools and Sales Training

• Create and manage educational/promotional materials for reimbursement.

• Train the field commercial team.
   

Global Access Support

• Understand and anticipate global data requirements.

• Support data development and value analyses relevant to diverse payer systems.
   

Policy & Rule Making

• Monitor health policy and regulatory developments affecting reimbursement.

• Collaborate with internal/external stakeholders on access policies.
   

CMS Engagement

• Engage proactively with the U.S. CMS rule-making process.

• Collaborate on activities related to Medicare, State Medicaid, and U.S. Military Health initiatives.
   

Practical Reimbursement Strategies

• Develop and implement strategies to secure optimal reimbursement, focusing on Medicare, Medicaid, and other payer groups.
   

HEOR Publication Planning

• Contribute to the development and writing of clinical and economic outcomes research to support access strategies.
   

Economic Modelling

• Create and manage health economic models to demonstrate the value proposition of medical devices.
   

Stakeholder Engagement & Education

• Build relationships with key stakeholders including government, physicians, hospitals, and payers.

• Lead awareness campaigns.
   

Value Messaging

• Collaborate with cross-functional teams on economic value messaging to support product adoption.
   

Support Product Development & Strategic Pricing

• Provide functional input to portfolio development and pricing strategies.

• Ensure market access needs are addressed.
   

Functional Representation & Upskilling

• Participate in internal teams and present strategies aligned with business plans.

• Manage reimbursement support for key internal/external stakeholders.
   

Support Commercial Launch

• Facilitate prior authorization and appeal processes.

• Manage field team services and ensure customers receive top-tier support.
   

External Landscape Monitoring

• Analyze healthcare policy to ensure the environment supports product launches and pipeline technologies.
   

Internal Collaboration & Knowledge Development

• Foster strong collaboration across departments.

• Stay up to date on clinical trials to enhance health economic value messaging.
   

Other Duties

• Perform additional duties as assigned by the Vice-President of Market Access.
   

Role Requirements

• Minimum 10+ years of professional experience, with 7+ years of work experience in implantable medical device market access/reimbursement industry, with specific responsibility/experience in obtaining coding, coverage and payment for new therapies in the US healthcare system.

• BS/BA degree required. Advanced degree (e.g., MS, MPH, or PhD) in health policy, health services research, public health, economics, or related discipline preferred.

• Previous experience in implantable medical device reimbursement, health economics and/or outcomes research and experience in commercialization of disruptive medical devices

• Demonstrated knowledge of U.S. healthcare systems including expertise in reimbursement pathway development and technology assessment processes.

• Working acumen of healthcare systems and market access in major global markets.

• Experience working with/in CPT, HCPCS, RUC and CMS outpatient/inpatient preferred

• Ability to effectively work and communicate across cultures and a breadth of functions/levels

• Analytical competencies to structure complex issues, synthesize key points, communicate and present in an easily understandable manner

• Strong organization and planning skills

• Self-motivated with excellent time management skills

• Ability to work effectively with minimum supervision essential

• Ability to grow with the organization and demonstrate a willingness to assume additional responsibilities over time

• Competence and credibility to build relationships of trust with physicians and associated

• professional staff at clinical centers

• Strong communication, interpersonal and problem-solving skills

• Ability to manage and deliver on multiple concurrent projects, including management of multiple consultants.

• Ability to interpret and integrate business strategies into actionable, value-added reimbursement and outcomes planning initiatives.

• Outstanding communication and interpersonal skills including developing relationships at all levels in an organization and among influential external parties.

• Enthusiastic, positive, and professional team player

• Travel up to 40%

The anticipated base pay range for this position is :

Bay Area: $197,000 - $317,400 ; US Country Norm: $160,00 - $276,0000

Additional Description for Pay Transparency:

Subject to the terms of their respective plans, employees and/or eligible dependents are eligible to participate in the following Company sponsored employee benefit programs: medical, dental, vision, life insurance, short- and long-term disability, business accident insurance, and group legal insurance. Subject to the terms of their respective plans, employees are eligible to participate in the Company’s consolidated retirement plan (pension) and savings plan (401(k)). This position is eligible to participate in the Company’s long-term incentive program. Subject to the terms of their respective policies and date of hire, Employees are eligible for the following time off benefits: 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  Additional information can be found through the link below.  https://www.careers.jnj.com/employee-benefits