Posted:
Wednesday, 16 April 2025
Valid Thru:
Friday, 16 May 2025
Index Requested on:
04/16/2025 13:43:37
Indexed on:
04/16/2025 13:43:37
Location: Santa Clara, CA, 95050, US
Industry:
Advertising and Public Relations
Occupational Category:
19-4099.00 - Life, Physical and Social Science
Type of Employment: FULL_TIME
Johnson and Johnson is hiring!
Description:
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 AccessJob Sub Function:
Health Economics Market AccessJob Category:
ProfessionalAll Job Posting Locations:
Santa Clara, California, United States of AmericaJob Description:
Distinguished expert individual contributor and organizational thought leader. Advises top leadership of ongoing execution of comprehensive market access strategies and performance against key department goals. Contributes to the body of knowledge of the organization's best practices to develop and produce successful go-to-market health economics market access deliverables. Identifies new methods of data-driven and researched insights to leaders and staff members on economic studies. Leads the industry in the design and implementation of health research studies and evaluates value of products based on analysis and customer requirements. This is a fully remote position.
The Director of Market Access & Reimbursement is responsible for directing and executing 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 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. Experience with influencing private payor coverage
policies is required and, successful payor communication tools and messages is essential.
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.
·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 execute 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: Manage multiple global consultants and projects to support strategic access initiatives.
·Market Access Educational Tools: Create & manage 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 stakeholders 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.
·Stakeholder Engagement & Education: Build relationships with key stakeholders, 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 manage reimbursement support for key internal/external stakeholders.
·Support Commercial Launch: Facilitate prior authorization 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 and keep up to date on clinical trials to enhance health economic value messaging.
·Other Duties: Perform additional duties assigned by the Vice-President of Market Access & Reimbursement
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.
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 20%
The anticipated salary range for this position is 197, 000.00 - 355, 000.00 USD
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.
Additional information can be found through the link below.
https: //www.careers.jnj.com/employee-benefits
Johnson & Johnson is an Affirmative Action and 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, or protected veteran status and will not be discriminated against on the basis of disability.
For more information on how we support the whole health of our employees throughout their wellness, career and life journey, please visit www.careers.jnj.com.
The anticipated base pay range for this position is:
197, 000.00 - 355, 000.0Additional Description for Pay Transparency:
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.Responsibilities:
Please review the job description.
Educational requirements:
Desired Skills:
Please see the job description for required or recommended skills.
Benefits:
Please see the job description for benefits.