Associate Director, US Hema & Reimbursement

Johnson & Johnson Johnson & Johnson · Pharma · Danvers, MA +2

The Associate Director, US HEMA & Reimbursement is responsible for developing and executing U.S. reimbursement, coding, and health policy strategies to ensure patient access to Impella Heart Recovery therapies. This role involves managing reimbursement strategies across various settings, protecting reimbursement pathways, providing expert guidance on coding and coverage, interpreting payer policies, analyzing healthcare data, and integrating clinical and economic evidence. The position also requires cross-functional leadership and external engagement with stakeholders.

What you'd actually do

  1. Manage U.S. reimbursement strategy across inpatient, outpatient, physician, and clinical trial settings for Impella products and services.
  2. Protect and enhance reimbursement pathways while proactively addressing competitive, policy, and payment risks.
  3. Provide expert guidance on coding, billing, and coverage to internal teams and external stakeholders.
  4. Interpret CMS / MAC and commercial payer policies to inform long‑term access strategies.
  5. Analyze complex claims, Medicare, and third‑party data to assess policy impact and reimbursement performance.

Skills

Required

  • Deep expertise in the U.S. healthcare payer system, including CMS inpatient, outpatient, and physician payment structures.
  • Strong experience with healthcare claims, billing databases, and payer policy analysis.
  • Proven ability to operate effectively in complex, matrixed organizations.
  • Excellent written and verbal communication skills; ability to translate complexity into actionable guidance.
  • Minimum 5 years of MedTech experience, with demonstrated reimbursement and/or health policy leadership.
  • Bachelor’s degree in life sciences, health economics, health policy, or related field.

Nice to have

  • Master’s degree (MPH, MHA, MS, MBA, or equivalent).
  • Prior experience supporting clinical trial reimbursement and policy‑driven innovation pathways.
  • Account Management
  • Competitive Landscape Analysis
  • Compliance Management
  • Consulting
  • Cross-Functional Collaboration
  • Escalation Management
  • Fact-Based Decision Making
  • Finance and Accounting Platforms
  • Market Access Reimbursement
  • Market Opportunity Assessment
  • Mentorship
  • Organizing
  • Performance Measurement
  • Pricing Strategies
  • Strategic Thinking
  • Technical Credibility

What the JD emphasized

  • Deep expertise in the U.S. healthcare payer system
  • Strong experience with healthcare claims, billing databases, and payer policy analysis
  • Minimum 5 years of MedTech experience, with demonstrated reimbursement and/or health policy leadership