Manager, Market Access and Reimbursement

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🕒 Agosto 11

🦌 Connecticut, Maine, +8 estados a mais – Remoto

🦌 Connecticut – Remote 🦞 Maine – Remote 🗻 New Hampshire – Remote 🗽 New York – Remote 🏈 Ohio – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote 🔔 Pennsylvania – Remote ⚓ Rhode Island – Remote 🍁 Vermont – Remote

💵 $136.000 - $170.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

👻 Score fantasma 13%

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Artex Risk Solutions

SiteLinkedInTodas as Vagas

501 - 1000 funcionários

Fundada em 1997

💸 Finanças

🛡️ Seguros

Finance • Insurance • Risk Management

A Artex Risk Solutions é líder em gestão de riscos alternativos, oferecendo soluções inovadoras tanto para grandes quanto para pequenas organizações. Eles se especializam em estratégias criativas de gerenciamento de riscos que ajudam os clientes a otimizar seus custos de risco, aproveitando a experiência em soluções de capital, transferência de risco especial e serviços de terceirização de seguradoras. Com presença global e um compromisso de desafiar abordagens tradicionais, a Artex visa capacitar empresas a tomar decisões informadas sobre a gestão de riscos e melhorar sua eficiência operacional.

Descrição

• Serve as the primary reimbursement expert supporting the field on reimbursement of Arthrex products • Assist the Director, Market Access and Reimbursement with company strategies and field reimbursement initiatives • Educate and train the Sales team and agencies on US reimbursement, including coding, coverage, payment, and contracting • Collaborate with Marketing, Sales, Product Management, and Regulatory teams to develop customer-facing tools, economic models, and reimbursement tactics • Partner with Sales leadership to plan and prioritize customer visits and deliver education and value-based messages • Develop and implement reimbursement, market access, and value-based strategies to broaden patient access • Develop and support relationships with local physician champions for payer and intermediary interactions • Ensure compliance within the functional area and support organizational compliance objectives • Travel up to 40%

🎯 Requisitos

• 5+ years of experience working in healthcare delivery and/or administration, a healthcare insurance plan, or the medical device industry • Bachelor's degree required • Orthopedic medical device experience desired but not required • Prior field reimbursement experience in medical device desired but not required • Certified Professional Coder is a plus • Detailed knowledge of medical device billing and coding, including CPT, HCPCS, and ICD-10 • Detailed knowledge of payer coverage requirements, prior authorization, claim submission, adjudication, and appeals processes • Knowledge of US healthcare policy, payment systems, and contracting methodologies, including Medicare and commercial payers • Knowledge of inpatient, outpatient, physician office, and ASC/HOPD sites of service • Ability to train sales team members on coding, coverage, reimbursement, and contracting concepts • Demonstrated ability to set and manage priorities while managing multiple projects • Ability to work with ambiguity and adapt in a rapidly changing environment • Experience working as part of functional and cross-functional teams • High customer service orientation and outstanding interpersonal skills • Ability to prioritize and implement multiple workstreams with multiple stakeholder audiences • Ability to work independently and effectively with minimal supervision • Demonstrated account management and customer service skills, including CRM use such as Salesforce • Computer literacy, including remote connectivity and Microsoft Office Suite • Valid driver's license with a clean motor vehicle record • Ability to travel throughout the U.S. by plane, train, or vehicle • Experience with Microsoft Office Suite and analytics and business intelligence software

🏖️ Benefícios

• Medical, Dental and Vision Insurance • Company-Provided Life Insurance • Voluntary Life Insurance • Flexible Spending Account (FSA) • Supplemental Insurance Plans (Accident, Cancer, Hospital, Critical Illness) • Matching 401(k) Retirement Plan • Annual Bonus • Wellness Incentive Program • Gym Reimbursement Program • Tuition Reimbursement Program • Trip of a Lifetime • Paid Parental Leave • Paid Time Off • Volunteer PTO • Employee Assistance Provider (EAP) • Eligible for discretionary Long Term Incentive program