Field Reimbursement Manager
Location
Florida + 3 moreAll locations: Florida, Kentucky, Massachusetts, Tennessee
Posted
12 days ago
Salary
$114K - $182.2K / year
Bachelor Degree6 yrs expEnglish
Job Description
• Work with hospital and physician customers to provide education for Impella therapy including DRG, ICD-10 and CPT coding as well as provide education on best practice 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 a Protected PCI 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 issue.
• May create training 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
• Responsible for communicating business-related issues or opportunities to next management level
• Responsible for following all Company guidelines related to Health, Safety and Environmental practices as applicable.
Job Requirements
- 6+ years experience in Medtech and cardiology
- Previous experience in (or strong working knowledge of) medical device industry specifically pertaining to health economics, reimbursement planning and program implementation.
- Bachelor's Degree required, 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.
- Outstanding interpersonal skills, experienced developing relationships at all organizational levels to influence business objectives.
- Demonstrated ability to balance strategic thinking with intricate planning and strong tactical execution.
- Demonstrates responsiveness and a sense of urgency
- Demonstrates 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.
- Functional and cross-functional teamwork experience.
Benefits
- medical, dental, vision, life insurance, short- and long-term disability, business accident insurance, and group legal insurance
- consolidated retirement plan (pension)
- savings plan (401k)
- long-term incentive program
- 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
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