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Smith+Nephew · 1 day ago

Field Reimbursement Manager (West, US)

Phoenix, AZ

Full-time

Hybrid

Mid Level

$130K/yr - $150K/yr

3+ years exp

Smith+Nephew is a healthcare company focused on providing solutions for patients and healthcare professionals. The Field Reimbursement Manager will support reimbursement and market access needs, implement Patient Access Programs, and collaborate with various stakeholders to address coding issues and 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 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 and support practices in their reimbursement activities

Escalate payer issues to payers and assist in developing educational tools

Report on reimbursement initiatives

Qualification

Reimbursement expertiseMarket access knowledgeHealthcare regulations understandingAAPC certificationAnalytical skillsCommunication 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