Senior Director, Market Access & 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:

Professional

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

Job Description:

Johnson & Johnson is currently seeking a Senior Director, Market Access & Reimbursement to join our MedTech organization located in within the United States. Remote work options may be considered on a case by case basis and if approved by the company.

This is a field-based, remote role available 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 various locations to apply and encourage you to review the following locations where this opportunity is available:

New Brunswick, NJ

New York, NY

Horsham, PA

Raynham, MA

Palm Beach Gardens, FL

Dallas, TX

Irvine, CA

The Senior Director of Market Access & Reimbursement is responsible for leading and implementing the overall US reimbursement strategy for Shockwave’s existing and future products. The individual has in-depth expertise in developing and implementing strategic and tactical reimbursement/market access initiatives in the US. A key focus of this position is pursuit of coding,

coverage and payment for Shockwave’s novel intravascular lithotripsy (IVL) therapy.

Candidates should have a consistent 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. Experience with influencing private payor coverage policies is required and, successful payor communication tools and messages is needed.

The role will also incorporate communication to, and with, third party payers, government entities

and other market access 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, CMS and senior management. Reporting directly to the Vice President 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. Additional responsibilities include:

• Strategic Access & Reimbursement: Lead and support access and reimbursement initiatives for current and future products in the US, including advocacy with KOLs, physician societies, and AMA on coding and RUC evaluation.

• Market Access Strategy: Develop and implement strategies to secure payer coverage and reimbursement for IVL therapy, with a focus on Medicare, Medicaid, and commercial payers.

• Team Leadership: Line management responsibility of US Reimbursement Team

• Global Value Dossier: Build and refine global value dossiers for public and private coverage of key technologies and develop health technology assessments (HTAs) that align with payer needs.

• Collaboration with Clinical & Medical Affairs: Partner to develop and publish cost-effectiveness data and research to support payer decisions and coverage.

• Consultant & Project Management: Lead multiple global consultants and projects to support strategic access initiatives.

• Market Access Educational Tools: Create & oversee educational/promotional materials for reimbursement & market access.

• Global Access Support: Understand and anticipate global data requirements, supporting data development and value analyses relevant to diverse payer systems.

• Policy & Rule Making: Monitor health policy and regulatory developments affecting reimbursement and collaborate with internal/external customers on access policies.

• CMS Engagement: Engage proactively with the U.S. CMS rule-making process and collaborate on activities related to Medicare, State Medicaid, and U.S. Military Health initiatives.

• Reimbursement Submissions: Lead preparations for submissions enabling timely access to novel technologies, including coding applications, coverage submissions, and HTA evaluations.

• Practical Reimbursement Strategies: Develop and implement strategies to secure optimal reimbursement, with a focus 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.

• Partner Engagement & Education: Establish relationships with key partners, including government, physicians, hospitals, and payers, and 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, ensuring market access needs are addressed.

• Functional Representation & Upskilling: Participate in internal teams, present strategies aligned with business plans, and lead reimbursement support for key internal/external customers and partners.

• Support Commercial Launch: Facilitate prior authorization processes, lead 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 and keep up to date on clinical trials to enhance health economic value messaging.

Qualifications:

• Bachelor’s Degree or equivalent is required; MBA or advanced degree is preferred

• Minimum 15+ 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.

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

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

• Working knowledge 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 and self-motivated with excellent time management skills

• 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, with ability to lead and deliver on multiple concurrent projects, including management of multiple consultants.

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

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

• Ability to travel up to 20% is required

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.

Johnson & Johnson is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by federal, state or local law. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act.

Johnson and Johnson is committed to providing an interview process that is inclusive of our applicants’ needs. If you are an individual with a disability and would like to request an accommodation, please email the Employee Health Support Center ([email protected]) or contact AskGS to be directed to your accommodation resource.

The Company maintains highly competitive, performance-based compensation programs. Under current guidelines, this position is eligible for an annual performance bonus in accordance with the terms of the applicable plan. The annual performance bonus is a cash bonus intended to provide an incentive to achieve annual targeted results by rewarding for individual and the corporation’s performance over a calendar/performance year. Bonuses are awarded at the Company’s discretion on an individual basis. Employees and/or eligible dependents may be 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. Employees may be 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. Employees are eligible for the following time off benefits: Vacation – up to 120 hours per calendar year Sick time - up to 40 hours per calendar year; for employees who reside in the State of Washington – up to 56 hours per calendar year Holiday pay, including Floating Holidays – up to 13 days per calendar year of Work, Personal and Family Time - up to 40 hours per calendar year Additional information can be found through the link below. http://www.careers.jnj.com/employee-benefits The compensation and benefits information set forth in this posting applies to candidates hired in the United States. Candidates hired outside the United States will be eligible for compensation and benefits in accordance with their local market.

The anticipated base pay range for this position is :

173,000 - 299,000

Additional Description for Pay Transparency:

Originally posted on Himalayas

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