Galvanize · 1 week ago
Field Reimbursement Manager
Redwood City, CA
Full-time
Hybrid
Senior Level
$155K/yr - $170K/yr
5+ years expGalvanize Therapeutics is a biomedical platform company aiming to deliver life-changing solutions to patients and their doctors. The Field Reimbursement Manager serves as the primary customer-facing expert on coverage, coding, prior authorization, and reimbursement, supporting healthcare professionals and ensuring timely patient access to therapy.
Health CareMedicalMedical DeviceTherapeutics
Responsibilities
Develop, implement, and manage field reimbursement for Galvanize Therapeutics working with the Market Access Team and key internal and external stakeholders
Serve as the primary field-based expert for reimbursement, coding, and coverage related to the company’s portfolio
Educate hospital administrators, billing managers, and healthcare providers on correct use of HCPCS, CPT, ICD-10 codes, modifiers, and documentation requirements
Support customers in navigating Medicare, Medicaid, and commercial payer coverage policies and prior-authorization requirements
Provide one-on-one and group training on prior authorization, claim submission, appeals, and payment processes
Conduct trainings for new and existing customers and track/report attendance
Deliver in-person and virtual reimbursement workshops and policy update sessions
Provide input and assist in developing reimbursement materials and tools for customers (Physicians, Coding Staff, Administrators, etc.) and the field sales team
Identify educational needs of priority accounts and use approved tools to deliver relevant training and education on coding, billing, and reimbursement
Develop a monthly report of provider activities, including regional trends and developments, to support quarterly updates to management
Identify, triage, and resolve access barriers in collaboration with internal reimbursement support teams
Monitor and communicate payer landscape changes to hospitals
Update/develop payer coverage policies on Galvanize Therapeutics products
Monitor and analyze public and private payer activities and trends, including coverage, coding and payment policies affecting Galvanize Therapeutics emerging and commercially marketed products at the nation and local/regional level with respect to patient access and customer satisfaction
Communicate coverage policy developments that impact both the short- and long-term reimbursement success of Galvanize Therapeutics products and associated procedures to key internal and external stakeholders
Translate policy developments into meaningful guidance and strategic advice
Maintain strong knowledge of health care policy activity regionally, interpret for business impact and participate in cross-functional projects internally or externally to influence and enhance position within changing environment
Help build relationships in key markets with government, physician, hospital and third-party payer decisionmakers
Develop strong relationships with customers, hospital administrators, billing leads, and payer representatives to create reimbursement successes and champions who will support Galvanize Therapeutics with payer organizations
Develop and implement tools and processes to clearly communicate how reimbursement and economic considerations affect business plans and strategies in business units and region
Execute and maintain centralized resources, i.e., coding guide(s) and other reimbursement and health economic resources, to assist with standardized reimbursement communications and/or policy communications
Qualification
Required
Bachelors or Masters degree. Coursework or degree in health economics, public health, health care administration, business administration or related discipline highly desirable
Self-starter with 5-7+ years of demonstrated success in reimbursement, patient access, billing/coding, or health economics, preferably with experience working with new medical device technologies
Experience in healthcare, insurance, and/or reimbursement field with emphasis on coding, coverage, and payment issues; medical device experience preferred. Certified coder credentials (e.g., CPC, CPMA) a plus
Demonstrated knowledge of U.S. healthcare systems including expertise in health care financing, reimbursement policies related to the device industry, and technology assessment
Expert in outpatient and inpatient coding (APC, MS-DRG, ICD-10), physician coding (CPT, HCPCS), Medicare, Medicaid, prior authorization workflows, claims processes, and third-party payer issues
Ability to interpret and translate billing, coding, coverage, and payment information and communicate these concepts to all levels of the organization
Proven track record working with providers and payers to provide reimbursement
Strong communication skills and experience developing interpersonal relationships with internal and external stakeholders
Demonstrated ability to make effective decisions independently and to work on a fast-paced matrix environment with minimal supervision
Ability to write and edit business documents (emails, memos, and PowerPoint presentations)
Experience using Excel, PowerPoint and Word applications
Preferred
Masters degree
Medical device experience preferred
Certified coder credentials (e.g., CPC, CPMA) a plus
Company
Galvanize
Galvanize Therapeutics is developing therapies to deliver life-changing healthcare solutions to patients and their doctors at the convergence of biology, engineering, and care delivery.
51-200 employees
Funding
Current Stage
Growth StageTotal Funding
$248.51MKey Investors
Sofinnova PartnersFidelity
2025-09-03Series C· $100M
2022-09-15Series B· $100M
2022-03-22Debt Financing· $4M
Leadership Team
Jonathan Waldstreicher
Founder, President & Chief Strategy Officer
Recent News
2025-11-24
Company data provided by crunchbase