Director, Reimbursement & Payment Policy
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 jnj.com As guided by Our Credo, Johnson & Johnson is responsible to our employees who work with us throughout the world.
We provide an inclusive work environment where each person is considered as an individual. At Johnson & Johnson, we respect the diversity and dignity of our employees and recognize their merit. All Job Posting Locations: Palm Beach Gardens, Florida, United States of America, Raritan, New Jersey, United States of America, Raynham, Massachusetts, United States of America, Warsaw, Indiana, United States of America, West Chester, Pennsylvania, United States of America Job Description: DePuy Synthes is recruiting for a Director, Reimbursement and Payment Policy, located in West Chester, Pennsylvania or Raynham, Massachusetts or Raritan, New Jersey or Warsaw, Indiana or Palm Beach Gardens, Florida or Washington, District of Columbia or Toronto, Canada.
DePuy Synthes is recruiting for a Director, Reimbursement and Payment Policy, located in West Chester, Pennsylvania or Raynham, Massachusetts or Raritan, New Jersey or Warsaw, Indiana or Palm Beach Gardens, Florida or Washington, District of Columbia or Toronto, Canada.
Please note that this role is available across multiple countries and may be posted under different requisition numbers to comply with local requirements. While you are welcome to apply to any or all of the postings, we recommend focusing on the specific country(s) that align with your preferred location(s): West Chester, PA (USA) - Requisition Number: 075041 Toronto, Canada - Requisition Number: 081006 Remember, whether you apply to one or all of these requisition numbers, your applications will be considered as a single submission.
DePuy Synthes is seeking a strategic and experienced Director, Reimbursement and Payment Policy to lead enterprise-wide reimbursement strategy across the Orthopaedics portfolio. This leader will shape and execute coding, coverage, and payment policy strategies to ensure favorable market access conditions for current and pipeline products across joint reconstruction, trauma, spine, sports medicine, craniomaxillofacial, and digital surgery.
The role requires strong policy expertise, external engagement, cross-functional collaboration, and the ability to translate policy into commercial advantage. Travel: up to 30%
Key Responsibilities
- Lead the development and execution of enterprise reimbursement and payment policy strategies across all product categories, including coding applications, coverage determinations
- payment optimization. - Define and own the long-term reimbursement roadmap for the Orthopaedics portfolio, anticipating market shifts and proactively positioning products for favorable access. - Develop and maintain a comprehensive reimbursement risk assessment framework for pipeline and in-line products, integrating findings into portfolio planning and investment decisions. - Provide strategic counsel to senior leadership, business unit heads
- cross-functional partners on reimbursement risks, opportunities
- implications for commercial strategy. - Monitor and analyze changes in CMS, commercial payer
- regional reimbursement policies, translating implications into actionable business strategies for the Orthopaedics portfolio. - Advance advocacy positions through trade association engagement and direct outreach to CMS and other policy-making/advisory bodies, including drafting and submitting comprehensive comment letters and supporting materials. - Develop and maintain relationships with key external stakeholders including payer medical directors, specialty societies
- industry trade associations. - Represent the organization at industry conferences, advisory boards, policy forums
- congressional briefings as a subject matter expert on orthopaedic reimbursement. - Collaborate with Government Affairs, Legal
- Compliance to ensure alignment on policy positions, advocacy strategies
- lobbying activities. - Partner with Health Economics and Epidemiology/RWE teams to develop evidence packages that support coverage and reimbursement submissions, including technology assessments and coverage with evidence development proposals. - Contribute to the Target Product Profile process by ensuring reimbursement and payment considerations are embedded early in product development. Tools, Training & Field Enablement - Oversee the development of coding and reimbursement resources, tools
- training materials for field teams, sales representatives
- customers. - Ensure reimbursement tools and resources are current, accurate
- compliant with all applicable regulations and guidelines. - Partner with US HEMA to translate policy changes into actionable field strategies, customer communications
- competitive positioning. Qualifications Education - Advanced degree in Health Policy, Health Economics, Public Health, Law
- a related field preferred. Experience and Skills - Minimum of ten years of progressive experience in reimbursement, payment policy
- market access within the medical device or MedTech industry. - Deep expertise in Medicare and Medicaid reimbursement systems, CPT and HCPCS coding, Ambulatory Surgery Center and Hospital Outpatient Department payment methodologies
- commercial payer policy. - Strong understanding of the orthopaedic, spine
- surgical technology landscape. - Excellent communication, strategic thinking
- cross-functional collaboration skills. - Proven ability to lead teams, influence senior stakeholders
- drive enterprise-level initiatives. Other - Travel: Up to 30% as required. - Languages: Fluent in English required. - Union: Not applicable. - Driver’s License: Valid driver’s license required where applicable. 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 . 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 & 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, external applicants please contact us via https://www.jnj.com/contact-us/careers , internal employees contact AskGS to be directed to your accommodation resource. #LI-Hybrid #DePuySynthesCareers Required Skills: Preferred Skills: Agility Jumps, Commercial Awareness, Competitive Landscape Analysis, Cross-Functional Collaboration, Customer Intelligence, Global Market, Go-to-Market Strategies, Health Economics, Health Intelligence, Market Knowledge, Market Opportunity Assessment, Mentorship, Pricing Strategies, Regulatory Compliance, Strategic Change, Tactical Planning, Technical Credibility The anticipated base pay range for this position is : 40 Additional Description for Pay Transparency: 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 For additional general information on Company benefits, please go to: - https://www.careers.jnj.com/employee-benefits