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Smith+Nephew · 1 day ago

Field Reimbursement Manager (East, US)

US - Boston, MA

Full-time

Hybrid

Mid Level

$130K/yr - $150K/yr

3+ years exp

Smith+Nephew is a company dedicated to improving patient care. The Field Reimbursement Manager will support reimbursement and market access needs while implementing Patient Access Programs and collaborating with healthcare providers to ensure timely access to care.

Medical Device

Comp. & Benefits

Responsibilities

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

Implement and manage Patient Access Programs that build the foundation of market adoption

Use analytical skills to solve reimbursement issues and 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

Develop coverage strategies, particularly for in-office procedures

Help implement coding and payment strategies for ENT products

Educate customers on payer trends and support practices in their reimbursement activities

Escalate payer issues to payers

Assist in developing educational tools and report on reimbursement initiatives

Qualification

Reimbursement experienceMarket access knowledgeHealth economics expertiseAAPC certificationUS healthcare regulationsCommunication skillsTeam collaborationAttention to detail

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