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Company

Recor Medical · 11 hours ago

Senior Field Reimbursement Manager- East

United States

Full-time

Remote

Senior Level

$169K/yr - $189K/yr

7+ years exp

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Responsibilities

In conjunction with sales colleagues, work directly with hospitals to evaluate reimbursement activities and broader financial environment relating to ultrasound renal denervation by analyzing key customer needs including coding (CPT, ICD-10, DRG), claims denials, procedural documentation

Articulate a deep 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 Paradise system; this will include managing and addressing coverage policy issues with payers as necessary

Establish and maintain effective working relationships with key stakeholders (including Cath Lab staff, billing, Administration and Physicians) at hospitals engaged in uRDN procedures, with the goal of supporting the site in to establish and maintain a uRDN program through development and implementation of tailored reimbursement plans addressing coding, coverage & payment

Manage relationships with Commercial Insurance service carriers to optimize reimbursement environment and coverage for the Paradise system

Present complex health economic information to influential and diverse groups in a way that is engaging, credible, and easily understood

Create training materials and deliver education programs to sales force, physicians, medical directors, billing personnel, distributors, and other internal and external stakeholders as required

Assist Regional/District Sales Managers in the development, implementation, and managements of strategic initiatives within geography. Support sales and clinical teams with reimbursement questions and challenges

Utilize in-person & virtual meetings to educate and train sales team individually or in groups on health economic tools and messaging and the compliant use of economic tools

Comply with U.S. Food and Drug Administration (FDA) regulations, other regulatory requirements, Company policies, operating procedures, processes, and task assignments

Ensure compliance requirements for delivery of field or virtual reimbursement support services are fully met

Serve as the field liaison to the Recor Market Access team by delivering customer insights, trends and challenges gathered from the field

Experience with new technologies/therapies where coverage is provided on a case-by-case basis and has demonstrated effective partnership with Patient Therapy Access teams

Qualification

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Health EconomicsReimbursement KnowledgeMedical Device ExperienceHospital FinanceUS Healthcare PolicyComplex Concept SalesStrategic ThinkingCollaboration Skills

Required

Previous experience or strong working knowledge of hospital finance or medical device industry specifically pertaining to health economics, reimbursement and service line implementation

Minimum of 7 years' experience in the medical device industry along with 3 years in a field reimbursement role for medical device

A minimum of a Bachelors degree is required

Comprehensive understanding of US health care policy and payment systems, including hospital and physician reimbursement

Ability to review aspects of medical documentation and verify medical criteria as cases are reviewed

Outstanding interpersonal skills, experienced developing relationships at all organizational levels to deliver business objectives

Ability to balance strategic thinking with detail planning and strong tactical execution

Demonstrates responsiveness and a strong sense of urgency

Ability to prioritize work tasks and manage multiple priorities concurrently and meet deadlines

Demonstrates comfort with ambiguity and the ability to adapt and refine continuously

Experience and comfort with complex concept sales involving changes in customer behavior or care-pathway

Ability to be perceived credibly and demonstrate excellent persuasion skills to achieve desired results

Experience working functionally and cross-functionally