Field Reimbursement Manager, Abiomed - Johnson and Johnson

Abiomed, a member of the Johnson & Johnson Family of Companies, is currently recruiting for a Field Reimbursement Manager to be located in the Mid-America and South Region of the United States.

Abiomed, part of Johnson & Johnson MedTech, is a leading provider of medical devices that provide circulatory and respiratory support, with a mission of recovering hearts & saving lives. Abiomed's "Patients First!" culture drives our skilled workforce and strong relationships with clinicians. Our innovative product portfolio and robust pipeline provide us the incredible opportunity to bring lifesaving technology to more patients around the world than ever before. Founded in 1981, Abiomed has a proven track record for growth, integrity and innovation.

I Am Abiomed | I Am Heart Recovery | Patients First!

Healthcare Solution and Reimbursement at ABIOMED is a field-based team responsible for working directly with hospitals and physicians to ensure they recognize the economic and clinical value of the Impella therapy. Successful candidates will have excellent technical expertise in the areas of healthcare administration and delivery, facility and physician reimbursement, and health economic value messaging. The right candidate for this opportunity will exhibit outstanding communication skills, the ability to present complex information to a broad and diverse group of stakeholders, and the ability to convey the unique capabilities ABIOMED has in this market. The role is ideal for candidates who enjoy both strategy and execution and who welcome the opportunity to travel, as this field-based position will involve overnight travel estimated up to 80%.
Responsibilities:

• Work directly with hospitals to evaluate reimbursement activities and overall financial environment relating to their Impella technologies by analyzing key customer needs including coding (ICD-10, DRG, CPT), claims denials, procedural documentation.
• Establish and maintain effective working relationships with key stakeholders (including O.R. and Cath Lab staff, billing, Administration and Physicians - interventionists and surgeons) at hospitals engaged in Impella procedures, to support the site in establishing and maintaining an Impella program through development and implementation of reimbursement plans (coding, coverage, payment) unique to each provider.
• Articulate a thorough understanding of the commercial and government payer landscape including coverage policies and payment processes by identifying payer opportunities and issues and implement programs to resolve/mitigate barriers to entry for the Impella device; this will include managing and addressing coverage policy issues with payers as necessary.
• Present complex health economic information to influential and diverse groups in a way that is engaging, credible, and easily understood.
• Manage relationships with Commercial Insurance service carriers to optimize reimbursement environment and coverage for ABIOMED technology.
• Assist Regional and Territory Sales Managers in the development, implementation, and managements of strategic initiatives within geography. Support sales and clinical teams with reimbursement questions and issues.
• Create training materials and deliver education programs to sales force, physicians, medical directors, billing personnel, distributors, and other internal and external stakeholders as needed.
• Via in-person & virtual meetings, educate and train sales team on health economic tools and messaging; train sales team members (individually, and in groups) on the use of economic tools in a compliant manner.
• Other duties as assigned.

• 8 years experience in (or strong working knowledge of) hospital finance or medical device industry specifically pertaining to health economics, reimbursement planning and program implementation.
• Strong understanding of US health care policy and payment systems, including hospital and physician reimbursement.
• Ability to review medical records and verify medical criteria as cases are reviewed
• Outstanding interpersonal skills, experienced developing relationships at all organizational levels to influence business objectives.
• Ability to balance strategic thinking with intricate planning and strong tactical execution.
• Demonstrates responsiveness and a sense of urgency
• Ability to prioritize work and manage multiple priorities
• Demonstrates comfort with ambiguity and the ability to adapt continuously
• Experience and comfort with complex concept sales involving changes in customer behavior or care-pathway.
• Ability to gain high levels of credibility and excellent persuasion skills to achieve desired results.
• Functional and cross-functional teamwork experience.
• Ability to work independently.

Preferred Qualifications:

• An advanced degree such as an MBA, MPH or MHA in health policy, health economics, healthcare administration, health services research, or similar discipline is highly desired, but not required.
• Extensive knowledge of medical coding including ICD-10, DRGs, CPTs and HCPCS codes. AAPC certification a plus
• Cardiovascular experience preferred

The anticipated base pay range for this position is $130,000.00 - $160,000.00.

This position is eligible for a car allowance through the Company's Fleet program.
Benefits:

• 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.
• Employees may be 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.
• Employees are eligible for the following time off benefits:
• Vacation - up to 120 hours per calendar year
• Sick time - up to 40 hours per calendar year; for employees who reside in the State of Washington - up to 56 hours per calendar year
• Holiday pay, including Floating Holidays - up to 13 days per calendar year
• Work, Personal and Family Time - up to 40 hours per calendar year

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

This job posting is anticipated to close on 04/15/2024. The Company may however extend this time-period, in which case the posting will remain available on https://www.careers.jnj.com to accept additional applications.

Abiomed is an Equal Opportunity Employer committed to a diverse workforce. Abiomed will not discriminate against any worker or job applicant on the basis of race, color, religion, gender, gender identity, national origin, ancestry, age, sexual orientation, gender identity, marital or civil partnership status, pregnancy, gender reassignment, non-job related mental or physical disability, genetic information, veteran status, military service, application for military service, or membership in any other category protected under law. Abiomed maintains a drug-free workplace.

Johnson & Johnson Family of Companies are equal opportunity employers, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, protected veteran status, disability status, or any other characteristic protected by law.