HistoSonics, Inc. · 3 months ago
Reimbursement & Health Economics Manager
US
Full-time
Hybrid
Senior Level
$140K/yr - $200K/yr
5+ years expHistoSonics is a medical device company focused on advancing non-invasive sonic beam therapy. They are seeking a Reimbursement & Health Economics Manager to support the sales team and optimize patient access by managing reimbursement strategies and collaborating with various stakeholders.
Health CareMedicalMedical Device
Responsibilities
Identify physician and hospital reimbursement hurdles and work with the account and prior authorization team for resolution
Lead reimbursement account calls, meetings and discussions with new and existing accounts
Support field sales reps with all aspects of new and existing account reimbursement needs
Develop and conduct health care economic and reimbursement sales and account implementation, onboarding, education and training (i.e. reimbursement processes, claim submissions procedures, payer coding requirements, coverage landscape, hospital CCR and FAQ’s) for external customer (hospitals, physicians) and internal customers (sales) and appropriate stakeholders
Communicate value messaging, reimbursement issues and coverage strategies
Trouble shoot, forecast and assess hospital and physician Histotripsy coverage and payment issues
Call on local payers to request coverage and establishment of appropriate payment
Manage deliverables such as reimbursement internal account reporting, dossiers, billing and coding tools/resources, clinical bibliography, reimbursement landscape analyses, consultant driven research
Proactively monitor external reimbursement environment, customers and competitors to identify opportunities for protecting and improving value proposition
Present to a diverse audience, including C-suite executives, physicians, and service line administrators regarding health economic and reimbursement issues with a solutions-oriented focus
Develop and implement reimbursement tools and tactics that support providers obtaining coverage and appropriate payment
Identify key decision-makers within a hospital administration (charge master, CFO, compliance, provider contracting) for reimbursement presentations supporting adoption
Understand, monitor and keep abreast of trends in health economics and reimbursement policies that impact Histotripsy and the competitive landscape
Provide actionable assessments of local reimbursement environments to help guide strategy, resourcing and tactical implementation
Lead and perform analyses, evaluate options, and develop recommendations to overcome economic barriers to market adoption
Lead, plan, and facilitate meetings and working sessions with US local payers and KOLs to influence public/private payers to achieve coverage and payment
Travel when needed to support reimbursement execution including site visits to physician practices or hospital administration, sales meetings, product training classes and tradeshows
Other duties may be assigned
Qualification
Required
Bachelor's degree in a related field
5+ years' Field Reimbursement Management experience including hospital medical device capital equipment, Category III CPT Codes, revenue cycle management, physician payment, Medicare and private payer payment models, hospital billing and coding systems (charge master, payer contracting, revenue cycle management)
Service line administration, or C-suite experience in hospital, physician practice and/or payer setting; health economics and outcomes research; or prior industry reimbursement and health care economics experience
A strong understanding of physicians, business/practice managers, payers, and their revenue cycle decision-making systems
Thorough understanding of U.S. public and commercial payer models, reimbursement concepts (e.g., coverage, coding, and payment)
Experience in health policy, health economics, medical device reimbursement, technology assessment, or health care research
Understanding of medical / clinical research methods and publication interpretation and ability to use evidence to support value proposition
Comfort with working independently and anticipating needs / projects before they formally arise
Thorough understanding of clinical and economic data, coding, coverage and payment issues, including issues that are unique to the reimbursement and market adoption of new technologies
Experience positioning clinical data/studies in support of reimbursement and economic value propositions to providers, societies, commercial payers, and Medicare
Demonstrated knowledge and medical device experience with US private payers and Medicare reimbursement
Ability to assess payer medical policies
Comprehensive knowledge of private payer payment methodologies and contracts
The ability to make effective presentations to providers and payers
High level of interpersonal skills: influencing, resolving conflict, and creative problem solving
Must be an excellent communicator using all available channels. Strong written, verbal and presentations skills with the ability to present, persuade and physicians, hospital administrators and key opinion leaders with respect to the Company's products and clinical strategies
The ability to research and strategically apply technical reimbursement knowledge to a variety of business situations
Comfortable working virtually, with flexible workplace arrangements and business virtual technologies
The ability to manage complex problems and projects while exercising independent decision-making and analytical thinking skills, with minimal supervision
Preferred
Master's degree preferred
Oncology experience a plus
Benefits
Health, dental, and vision insurance
Life, short-term and long-term disability insurance
401(k)
Paid time off
And more
Company
HistoSonics, Inc.
HistoSonics is a growth phase company developing a non-invasive sonic beam therapy platform and procedure using the science of histotripsy.
201-500 employees
Funding
Current Stage
Late StageTotal Funding
$578.79MKey Investors
Alpha Wave VenturesSignature BankJohnson & Johnson Innovation
2025-10-16Private Equity· $250M
2025-08-07Private Equity
2025-08-07Acquired
Leadership Team
Mike Blue
President and CEO
Thomas Davison
Co-Founder - Advisor
Recent News
IEEE Spectrum
2026-01-03
2025-12-28
2025-12-24
Company data provided by crunchbase