Director, Payer Relations Shockwave
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Job Location:
Titusville, FL - USA
Monthly Salary:
Not Disclosed
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
At Johnson & Johnsonwe believe health is everything. Our strength in healthcare innovation empowers us to build aworld where complex diseases are prevented treated and curedwhere treatments are smarter and less invasive andsolutions are 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 more at
Job Function:
Market AccessJob Sub Function:
Health Economics Market AccessJob Category:
People LeaderAll 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 AmericaJob Description:
Johnson and Johnson is currently seeking the best talent for a Director Payer Relations - 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
The Director of Payer Relations is responsible for developing and managing strategic relationships with national and regional health plans and other third-party payers. This role ensures that Shockwave Medicals products are positioned favorably with payers networks and reimbursement structures to maximize patient access and organizational revenue. The individual will also partner cross-functionally with members of the sales marketing and clinical affairs teams to inform the long-term evidence strategy required to obtain and maintain reimbursement in U.S. markets.
Key Responsibilities:
Lead the development and execution of national and regional payer coverage and reimbursement strategies including clinical data and publication requirements health economics and general value proposition models to ensure successful payer negotiations commercial viability and improved patient access to covered IVL indications.
Engage with third-party evidence review organizations to ensure up-to-date reviews of Shockwave clinical data and provide education and materials in support of positive conclusions from clinical literature.
Develop and maintain strong relationships with target payers and build a working knowledge of their key processes including medical policy utilization review health outcomes risk management provider contracting and claims processing.
Develop relationships with Advisory Committee members and payer Medical Directors (key influencers for our indications) for public and private payers to support changes that reflect local medical practices.
Influence policy development such as new Local Coverage Determinations (LCDs) and engage with various coverage advisory groups to enhance patient access.
Effectively leverage and communicate published literature and other evidence to payers demonstrating IVL value that positively influences coverage policy development.
Monitor payer coverage policies track review periods and analyze data on medical review prior authorization and claims payment trends to inform payer strategy tactics and team priorities.
Collaborate with Field Reimbursement Managers as needed for ongoing strategy execution.
Support Clinical Education with lead local physician advocates to influence payer coverage and medical review policies.
Improve effectiveness and focus of industry alliances as needed that support Medicare and commercial payer policy and patient access.
Provide internal and external voice-of-customer (VOC) feedback to guide strategy development.
Develop programs to train Sales Representatives and key economic customers on reimbursement issues.
Perform other duties as assigned.
Qualifications:
Bachelors degree in public policy health economics or life sciences required; Masters degree preferred.
710 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 2550% as required.
Excellent written and verbal communication skills.
Proficiency in Microsoft PowerPoint Excel and Word.
Required Skills:
Preferred Skills:
The anticipated base pay range for this position is :
Applicable Pay Range Bay Area: $168000 - $271400 ; US Country Norm: $13700 - $235750Additional Description for Pay Transparency:
Please use the following language: 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 Companys consolidated retirement plan (pension) and savings plan (401(k)). This position is eligible to participate in the Companys 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. Experience:Director
Key Skills
- Revenue Cycle Management
- Marketing
- Public Relations
- Algebra
- MailChimp
- Media Relations
- Social Listening
- Relationship Management
- Customer relationship management
- Medicare
- Public Speaking
- Writing Skills
About Company
About Johnson & Johnson A t Johnson & Johnson, we believe good health is the foundation of vibrant lives, thriving communities and forward progress. That’s why for more than 130 years, we have aimed to keep people well at every age and every stage of life. Today, as the world’s larges ... View more
