Associate Director, HEMA & Reimbursement

• Manage U.S. reimbursement strategy across inpatient, outpatient, physician, and clinical trial settings for Impella products and services.
• Protect and enhance reimbursement pathways while proactively addressing competitive, policy, and payment risks.
• Provide expert guidance on coding, billing, and coverage to internal teams and external stakeholders.
• Interpret CMS / MAC and commercial payer policies to inform long‑term access strategies.
• Analyze complex claims, Medicare, and third‑party data to assess policy impact and reimbursement performance.
• Review and translate clinical and economic evidence into clear reimbursement positioning.
• Serve as a reimbursement subject‑matter expert to cross‑functional partners, including Medical Office, Regulatory, Strategic Marketing, HEMA, Field Reimbursement, and Commercial teams.
• Engage with physician societies, coding organizations, and health policy stakeholders to support coding, coverage, and advocacy initiatives.
• Partner closely with the Director of US Field Reimbursement Solutions to ensure consistent, high‑quality guidance in the field.
• Build a purpose‑driven environment aligned with the Johnson & Johnson Credo and Leadership Imperatives.

Requirements

• 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.
• Preferred Master’s degree (MPH, MHA, MS, MBA, or equivalent).

Core Competencies

Demonstrates deep expertise in U.S. healthcare payer systems and reimbursement strategies, with a strong ability to analyze claims and translate complex policies into actionable guidance. Proven leadership in MedTech reimbursement and health policy, fostering collaboration across cross‑functional teams.

Highest-signal resume keywords

• U.S. Healthcare Payer System Expertise
• Healthcare Claims Analysis
• Reimbursement Strategy Management
• Health Policy Leadership
• Excellent Communication Skills

ATS Optimization Keywords

Hard Skills

• Coding
• Billing
• Coverage Analysis
• Policy Interpretation
• Claims Analysis
• Medicare Data Assessment
• Reimbursement Performance Evaluation