Field Reimbursement Manager

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Job Function:

Market Access

Job Sub Function:

Reimbursement

Job Category:

Professional

All Job Posting Locations:

Colorado (Any City), Illinois (Any City), Louisiana (Any City), Minnesota (Any City), Missouri (Any City), Santa Clara, California, United States of America, Texas (Any City)

Job Description:

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.

Successful candidates will have excellent technical expertise in the areas of healthcare administration and delivery, facility and physician reimbursement, sales education, and health economic value messaging. 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 Hospitals, ASCs, 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

• Reimbursement Tools & Materials

  • Provide input and assist in the development of reimbursement materials and tools for customers (Physicians, Billing Staff, Coding Staff, Administrators, Revenue Cycle etc.) and the field sales team

  • Identify the educational needs of priority accounts and work with approved Shockwave tools to provide relevant training and education on coding, billing, and reimbursement

  • Develop monthly report of provider activities including regional trends and developments in support of quarterly updates to Senior Leadership

• Reimbursement and Access Support

  • Develop monthly report of provider activities including regional trends and developments in support of quarterly updates to Senior Leadership

  • Develop and implement reimbursement strategies and tactics aligned with Sales leadership that 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 Hospital Inpatient, Outpatient, and ASC settings

  • Educate Hospital administrators, billing managers, and healthcare providers by delivering targeted training using approved tools on coding, billing, and reimbursement (e.g., DRGs/ICD‑10‑CM/PCS for IP; APCs/CPT/HCPCS for HOPD), documentation requirements, and claim workflows

  • Incorporate health economic value messaging into field reimbursement discussions by leveraging regional market data, hospital‑specific cost structures (IP DRG/APC reimbursement dynamics), and local payer coverage trends to help facilities understand the clinical, operational, and economic impact of the technology

  • Develop and communicate insights using localized utilization patterns, competitive landscape signals, and real‑world evidence to support hospital decision‑makers (finance, value analysis committee, revenue cycle, clinical leadership) in evaluating the therapy’s value proposition

  • 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, determining and implementing appropriate solutions

  • Conduct webinars for new and existing customers (frequency to be determined and based on customer need). Track and report on customer attendance

  • Conduct webinars for new and existing customers (frequency to be determined and based on customer need). Track and report on customer attendance

• Field Education and Relationship Management

  • Partner with sales, marketing, and clinical teams to ensure seamless customer experience and compliance

  • Build and maintain strong relationships with Hospital administrators, clinical teams, billing & coding leads, and payer representatives and ensure tracking through CRM systems

  • Engage physicians to support payer advocacy by helping them interpret coverage requirements, communicate medical necessity, and partner in resolving access barriers.

  • Deliver in-person and virtual reimbursement workshops and policy update sessions

  • Monitor and communicate payer landscape changes relevant to the Hospital and ASC site of service

  • Monitor and communicate payer landscape changes relevant to the Hospital and ASC site of service

• Cross-Functional Collaboration

  • Collaborate with Market Access, Health Economics, Medical Affairs, and Compliance teams

  • Serve as the field liaison to the Shockwave Market Access team by delivering customer insights, trends and challenges gathered from the field

  • Provide field insights on reimbursement trends and Hospital operational models

  • Collaborate with Marketing colleagues on strategies that address the needs of key Government, Healthcare Agencies and Commercial Stakeholders, and that influence the economic and policy decisions on product coding and reimbursement.

  • Participate in initiatives supporting new product launches, coding applications, and payment advocacy efforts

  • Other duties as required

  • Ensure compliance with corporate and other regulatory requirements

Requirements

• Bachelor’s degree in business, economics, or health-related subject or equivalent experience

• Experience in healthcare, insurance and/or reimbursement field with particular emphasis on coding, coverage, and payment issues. Medical device experience preferred

• 6-8 years reimbursement policy and/or payer experience within a medical device company, healthcare provider, or healthcare consulting firm

• At least 3 years field reimbursement experience in Hospital setting

• Working knowledge of healthcare economics, managed care and government payer business practices, health policy development, and advocacy

• Demonstrated ability to interpret and translate billing, coding, coverage, and payment information and communicate these concepts to all levels of the organization

• Ability to review aspects of medical documentation and verify medical criteria as cases are reviewed

• Individual must be able to work in a fast-paced and demanding environment, capable of managing high pressure situations with both internal and external customers

• Ability to work independently and problem-solve with minimum supervision in a field-based role with significant visibility to sales leadership is critical

• Strong analytic and investigative skills; able to get to the bottom of an issue

• Ability to translate complex reimbursement information into easy to implement strategies and tactics through exceptional written and verbal communication

• Strong organization, prioritization skills needed; incumbent must be detail and deadline oriented

• Ability to be perceived credibly and demonstrate excellent persuasion skills to achieve desired results

• Travel up to 50% may be required

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 (ra-employeehealthsup@its.jnj.com) or contact AskGS to be directed to your accommodation resource.

Required Skills:

Preferred Skills:

Account Management, Coaching, Competitive Landscape Analysis, Compliance Management, Consulting, Cross-Functional Collaboration, Escalation Management, Fact-Based Decision Making, Finance and Accounting Platforms, Financial Reports, Market Access Reimbursement, Market Opportunity Assessment, Performance Measurement, Pricing Strategies, Process Improvements, Strategic Thinking, Technical Credibility

The anticipated base pay range for this position is :

$118,000.00 - $203,550.00

Additional Description for Pay Transparency:

The anticipated base pay range for this position is $102,000-177,100

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. ·
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."

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 Colorado –48 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

Bereavement Leave – 240 hours for an immediate family member: 40 hours for an extended family member per calendar year

Caregiver Leave – 80 hours in a 52-week rolling period10 days

Volunteer Leave – 32 hours per calendar year

Military Spouse Time-Off – 80 hours per calendar year

Additional information can be found through the link below.

Co-Ops and Intern Positions: Please use the following language:

Co-Ops/Interns are eligible to participate in Company sponsored employee medical benefits in accordance with the terms of the plan.

Co-Ops and Interns are eligible for the following sick time benefits: up to 40 hours per calendar year; for employees who reside in the State of Washington, up to 56 hours per calendar year.

Co-Ops and Interns are eligible to participate in the Company’s consolidated retirement plan (pension).

Positions Represented by CBA: Please use the following language:

This position is eligible for benefits to include medical, dental, vision and time off, as well as any others as provided for in the applicable Collective Bargaining Agreement.

The following link to general company benefits information MUST also be included in the posting: Please use the following language:

For additional general information on Company benefits, please go to: - https://www.careers.jnj.com/employee-benefits

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 (ra-employeehealthsup@its.jnj.com) or contact AskGS to be directed to your accommodation resource.