Director, Payer Relations

Johnson & Johnson

Arizona (Any City), United States of America
Base: $157,000.00 - $271,400.00; bonus/equity: eli...
Fully remote
Payer coverage and reimbursement strategies
Develop and maintain strong relationships with payers
Leverage published literature and evidence to payers
The Director of Payer Relations is responsible for developing and managing strategic relationships with national and regional health plans and other third-party payers to ensure favorable product positioning and maximize patient access and organizational revenue

Job Summary

  • The Director of Payer Relations is responsible for developing and managing strategic relationships with national and regional health plans and other third-party payers to ensure favorable product positioning and maximize patient access and organizational revenue.
  • Key responsibilities include leading the development and execution of national and regional payer coverage and reimbursement strategies, engaging with evidence review organizations, and developing relationships with key influencers for indications.
  • The position requires a Bachelor's degree, 7-10 years of healthcare coding, coverage, and reimbursement experience with medical devices, and a willingness to travel 25-50%.

Matching Summary

The Director of Payer Relations is responsible for developing and managing strategic relationships with national and regional health plans and other third-party payers to ensure favorable product positioning and maximize patient access and organizational revenue.

Salary

Base: $157,000.00 - $271,400.00; Bonus/Equity: Eligible for annual performance bonus; Benefits: Eligible for consolidated retirement plan, savings plan, long-term incentive program, and various time off benefits

Skills & Requirements

Must-have

  • Payer coverage and reimbursement strategies
  • Develop and maintain strong relationships with payers
  • Leverage published literature and evidence to payers
  • Monitor payer coverage policies and trends
  • Train Sales Representatives on reimbursement issues

Nice-to-have

  • Commercial awareness
  • Competitive landscape analysis
  • Cross-functional collaboration
  • Customer intelligence
  • Health intelligence

Key Requirements

  • Bachelor's degree in public policy, health economics, or life sciences
  • 7–10 years of healthcare coding, coverage, and reimbursement experience
  • Experience with complex reimbursement areas including Medicare and commercial payer policies
  • Demonstrated success in developing coverage for emerging technologies
  • Strong understanding of clinical and economic data, coding, coverage, and payment issues
  • Expertise in reimbursement principles across various healthcare settings

Work Rights

Not specified

Tailored Resume

Cover Letter