Orthopedic Coder Jobs in Massachusetts (NOW HIRING)

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Job Function:

Market Access

Job Sub Function:

Health Economics Market Access

Job Category:

Professional

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.

Johnson & Johnson announced plans to separate our Orthopedics business toestablisha standalone orthopedics company,operatingasDePuy Synthes. The process of the planned separation isanticipatedto be completed within 18 to24 months, subject to legal requirements, including consultation with works councils and other employee representative bodies, as may berequired, regulatory approvals and other customary conditions and approvals. Should you accept this position, it isanticipatedthat, following conclusion of the transaction, you would be an employee of DePuySynthesand your employment would be governed by DePuy Synthes employment processes, programs, policies, and benefit plans. In that case, details of any planned changes would be provided to you by DePuy Synthes atan appropriate timeand subject to any necessary consultation processes.

Job Overview
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, and 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, and cross-functional partners on reimbursement risks, opportunities, and implications for commercial strategy.

- Monitor and analyze changes in CMS, commercial payer, and 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, and industry trade associations.
- Represent the organization at industry conferences, advisory boards, policy forums, and congressional briefings as a subject matter expert on orthopaedic reimbursement.

- Collaborate with Government Affairs, Legal, and Compliance to ensure alignment on policy positions, advocacy strategies, and 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, and training materials for field teams, sales representatives, and customers.
- Ensure reimbursement tools and resources are current, accurate, and compliant with all applicable regulations and guidelines.
- Partner with US HEMA to translate policy changes into actionable field strategies, customer communications, and competitive positioning.

Qualifications

Education
- Advanced degree in Health Policy, Health Economics, Public Health, Law, or a related field preferred.

Experience and Skills
- Minimum of ten years of progressive experience in reimbursement, payment policy, or 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, and commercial payer policy.
- Strong understanding of the orthopaedic, spine, and surgical technology landscape.
- Excellent communication, strategic thinking, and cross-functional collaboration skills.
- Proven ability to lead teams, influence senior stakeholders, and 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,careerand life journey, please visitwww.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 :

$164,000.00 - $282,900.00

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