Apply on Employer Site

Smith+Nephew · 2 days ago

Field Reimbursement Manager (West, US)

US - San Francisco, CA

Full-time

Hybrid

Mid Level

$130K/yr - $150K/yr

3+ years exp

Smith+Nephew is a leading medical technology company, seeking a Field Reimbursement Manager for the ENT division. The role involves supporting reimbursement and market access needs, implementing patient access programs, and collaborating with healthcare professionals to address coding and reimbursement issues.

Medical Device

Comp. & Benefits

Responsibilities

Support the day-to-day reimbursement and market access needs for both internal and external customers

Implementing and managing Patient Access Programs that build the foundation of market adoption

Train customers on billing practices

Partner with physicians, hospitals, and sales teams to address coding issues and provide reimbursement support

Assist customers with understanding escalated cases, benefit verification, prior authorization coordination, payer issue resolution, and ongoing case management to ensure timely access to care

Develop coverage strategies, particularly for in-office procedures

Help implement coding and payment strategies for ENT products

Educate customers on payer trends

Support practices in their reimbursement activities

Escalate payer issues to payers

Assist in developing educational tools

Report on reimbursement initiatives

Qualification

Reimbursement experienceMarket access knowledgeHealthcare regulations understandingAAPC certificationCommunication skillsTeam-orientedAttention to detailFlexibility

Required

Bachelor's degree in relevant field (Public Policy, Health Economics, Business, Science, or Healthcare Administration)

Minimum 3 years of experience in reimbursement, market access, health economics for a medical technology company, healthcare consulting firm, insurance, healthcare delivery system, or physician/hospital/ASC practice management

Strong ability to communicate medical device benefits to patients, providers, and payers through presentation and training program design

Demonstrated understanding of US healthcare reimbursement mechanisms and regulations related to medical technology products

Excellent verbal and written communication skills, including public speaking and presentation

Travel Requirements: 30%-50% of the time