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Inspire Medical Systems · 1 day ago

Field Reimbursement Manager - Mid Central/Texas

United States

Full-time

Remote

Senior Level

$160K/yr - $190K/yr

5+ years exp

Inspire Medical Systems is a pioneering company in the medical device industry focused on improving the lives of those with Obstructive Sleep Apnea. The Field Reimbursement Manager will play a crucial role in supporting patient access and navigating reimbursement challenges by building relationships with healthcare providers and collaborating with internal teams.

BiotechnologyHealth CareMedical DeviceTherapeutics

Growth Opportunities

Responsibilities

Provide support to optimize Inspire access and minimize reimbursement barriers for patients and providers

Build relationships with providers, providers’ offices, Ambulatory Surgery Centers, hospital outpatient facilities, as well as other cross functional internal and external stakeholders

Work independently in a fast paced, highly visible environment as well as collaboratively with the internal program prior authorization support services and field sales

Ensure all customer needs are met supporting patient therapy access and communicating coverage challenges across specific payer channels with guidance on how to navigate and minimize those potential hurdles

Actively engage with new accounts for billing and coding training, audit education, and program review support

Be the subject matter expert on coding, coverage, and payment for Medicare and commercial payers and impact patient access through complex problem solving

Effectively communicate and explain Inspire reimbursement education, support, and resources to customers in multiple sites of service including administrators

Proactively and reactively navigate and address individual account and patient access issues by partnering with external and internal stakeholders including internal reimbursement team and field sales colleagues

Respond to client and internal partner requests for customer site visits, Inspire program business reviews, and reimbursement needs/support

Establish and maintain customer relationships through reimbursement related engagement and cross-functional partnerships including Sales, Marketing, Medical Education, and Legal and Compliance, etc

Execute on access and reimbursement strategic priorities, working with business partners to identify and prioritize key accounts for alignment of reimbursement support to achieve goals

Collaborate in the development of reimbursement presentations for site visits, trainings, client presentations and other meetings as appropriate

Keep abreast of ever-changing market dynamics and industry trends Inspire related impacts regarding to CMS and commercial payers

Work in a fast-paced environment and manage additional related responsibilities based on organizational needs

Build a culture of compliance that ensures that all activities are fully aligned with company quality system procedures/policies, applicable laws, regulations, and industries standards

Qualification

Reimbursement/market accessCoding knowledgeHCPsImplantable medical device experienceCoding certificationCommunicationProblem solvingProject management

Required

Bachelor's degree in business, science or healthcare administration required

5+ years of experience in reimbursement/market access and/or Successful experience working with complex insurance payer claims, denials, and appeals (Medicare and commercial)

Demonstrated knowledge in coding, coverage, and payment for implantable medical devices across the healthcare landscape including HCPs, ASCs, hospitals

Experience engaging directly with HCPs in multiple sites of service and in group educational settings

Excellent communication and in person and virtual presentation skills to interface with customers, cross-functional partners, and internal reimbursement and prior authorization partners

Independent and team-oriented problem solving and diligent self-motivated follow up

Direct experience collaborating with multiple internal and external stakeholders and managing project

Ability to travel regularly and up to 30-40%

Preferred

Implantable medical device experience

Experience with Neurology products

Coding certification (CPC, COC)

Benefits

Multiple health insurance plan options.

Employer contributions to Health Savings Account.

Dental, Vision, Life and Disability benefits.

401k plan + employer match.

Identity Protection.

Flexible time off.

Tuition Reimbursement.

Employee Assistance program.

All employees have the opportunity to participate in the ownership and success of Inspire. Employees at all levels can participate through equity awards and the Employee Stock Purchase Program.