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Johnson & Johnson is looking for an Associate Director, US Payment and Reimbursement to join our US Value and Access Health Economics Market Access (HEMA) team supporting DePuy Synthes, our orthopedic medical technology business! This is an exciting opportunity to shape payment strategy and development of reimbursement materials, associated value messaging, and communication tools in support of Business Unit platform objectives and customers as they seek to grow their orthopedic service lines. This position will be located in either Palm Beach Gardens, FL; West Chester, PA or Raynham, MA

The position requires knowledge and experience with U.S. healthcare costs and affordability, coverage, coding & reimbursement of medical technology, health insurance coverage and benefit design including Medicaid, the ACA and Medicare, payment and delivery system reform, value assessment or value-based care (VBC), and understanding of social determinants of health, including the regulation of emerging and digital technologies.

Responsibilities:

* Works closely together with Government Affairs & Policy to track and analyze Centers for Medicare & Medicaid Services (CMS) rule proposals and other policy matters, particularly as they relate to Medicare coverage, coding, and payment of medical technology used in all site of care settings, by physicians and other practitioners in the services they provide patients, or through the provision of diagnostic tests.

* Engage directly with payers as needed to establish coverage, coding, and reimbursement policies in accordance with market access strategy and business plans.

* Establish subject matter expertise to routinely provide CMS and commercial payment, reimbursement, coding and coverage materials to key business partners within targeted platforms.

* Contribute to the creation of training for surgeons, providers, internal teams, and field sales related to the economic value of DePuy Synthes technologies in a compliant manner.

* Support reimbursement training efforts for surgeons and relevant administrators as necessary.

* Provides support to US colleagues for reimbursement and coding systems, and/or private health insurance design.

* Collaborate on generating reimbursement or VBC propositions in Orthopedic medical technology. Develop associated materials, tools, and messaging to support external and internal stakeholders.

* Day-to-day support of customers and field-based sales teams on reimbursement matters.

* Troubleshoot with internal and external stakeholders as needed to address reimbursement needs.

* Identify opportunities for the development of collateral to support educational and economic value messaging efforts for customer presentations.