Glaukos Corporation · 4 hours ago
Reimbursement Liaison Director - Glaucoma (West)
Aliso Viejo, CA
Full-time
Remote
Director/Executive
10+ years exp
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Responsibilities
Leads and mentors by establishing clear objectives and performance metrics, including providing tactical guidance on complex reimbursement issues and ensuring the team has the necessary resources to meet customer needs.
Establish team SOPs, KPIs, Development opportunities and oversee a structured performance management framework, including regular evaluations and feedback sessions.
Identify training needs and coordinate development opportunities to enhance team performance and expertise in reimbursement practices while fostering a culture of continuous improvement and accountability.
Ensure all reimbursement activities comply with legal, regulatory, and corporate guidelines, mitigating risks associated with non-compliance
Establish, monitor, report customer engagement, outcomes, and RL SOPs metrics.
Lead Performance Reviews, including ride-alongs/co-travel to provide expertise and coaching: in account management, specialty pharmacy, patient assistance programs, buy & bill acquisition, policy reviews, claim reviews and processing.
Proactively scanning/monitoring, identifying, and reporting reimbursement trends with strong personal ownership for identifying and communicating solutions via cross-functional collaboration (e.g., HCPs receiving notification of policy changes, claim denials, underpayments, etc.) and engages payer team appropriately when patient access may be jeopardized.
Maintain expertise in regional and national payer landscapes, specifically, proper clinical requirements, reimbursement policy, utilization management criteria, prior authorization processes and appeal requirements.
Ability to travel adequately to cover territory, as well as overnight travel (~50%) and attendance at scheduled training and meetings.
Qualification
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Required
Bachelor’s Degree in Science, Business, or Marketing required.
Minimum of 10 years “direct” reimbursement/healthcare policy experience.
Minimum of 3-5+ years previous field-based reimbursement team management experience, preferably with products within prelaunch or early launch phases.
Experience with launching and supporting drug/ device combination products.
Demonstrated subject matter expertise in US Payer/insurance coverage and marketplace, including Medicare, Medicare Advantage, VA/Tri-Care, Commercial and Medicaid.
Cross-functional experience and strong interpersonal skills within a team environment, with experience leading by influence towards business result.
Demonstrated excellent proven written and verbal communication skills with ability to speak to all levels of the organization as well as understand and use data in communications.
Preferred
Previous ophthalmology product/services in ASC/MD office experience.
Cross-functional team experience in multiple drug/device combination departments, such as business development, strategy, marketing, sales and/or corporate development roles within a medical device or pharmaceutical company.
Experience working in a highly matrixed environment that incorporates compliance with all corporate, regulatory and legal guidelines.
Company
Glaukos Corporation
At Glaukos, our focus is to develop and lead the global ophthalmic market with novel therapies for the treatment of glaucoma, corneal disorders, and retinal diseases—therapies that advance the existing standard of care and enrich the lives and treatment alternatives for patients worldwide.
501-1,000 employees
H1B Sponsorship
Glaukos Corporation has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (1)
2022 (3)
2021 (2)
Funding
Current Stage
Public CompanyTotal Funding
$121MKey Investors
Meritech Capital PartnersOrbiMed
2015-06-25IPO· nyse:GKOS
2013-02-07Series F· $30M
2012-10-03Debt Financing· $6M
Leadership Team
Chris M. Calcaterra
Executive Vice President of Global Commercial Operations
Recent News
2024-11-05
2024-11-04
2024-05-28
Company data provided by crunchbase
