Reimbursement & Health Economics Manager

🕒 Maio 20

🐊 Florida, North Carolina, +4 estados a mais – Remoto

🐊 Florida – Remote 🌲 North Carolina – Remote 🎸 Mississippi – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote ⚔️ Virginia – Remote

💵 $140.000 - $200.000 / ano

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HistoSonics, Inc.

SiteLinkedInTodas as Vagas

51 - 200 funcionários

Fundada em 2009

🧬 Biotecnologia

💊 Farmacêutico

Healthcare • Biotechnology • Pharmaceuticals

HistoSonics, Inc. é uma empresa de tecnologia médica pioneira que desenvolveu uma plataforma de terapia por feixe sônico não invasiva, utilizando um tratamento chamado histotripsia. Esta abordagem inovadora utiliza ultrassom focalizado para destruir mecanicamente tumores hepáticos direcionados em nível subcelular. A HistoSonics está dedicada a avançar a ciência da histotripsia, visando oferecer benefícios transformadores para pacientes e médicos em todo o mundo, especialmente por meio de seus ensaios clínicos em andamento e programas educacionais.

Descrição

• Identify and resolve physician and hospital reimbursement challenges in collaboration with account and prior authorization teams • Lead reimbursement-related calls, meetings, and discussions with new and existing accounts • Support field sales with reimbursement needs across all account stages • Develop and deliver reimbursement and health economics education, onboarding, tools, and training for internal and external stakeholders • Communicate value messaging, coverage strategies, and reimbursement issues • Assess, forecast, and troubleshoot coverage and payment challenges for hospitals and physicians • Manage reimbursement deliverables including reporting, dossiers, billing and coding tools, clinical bibliographies, and reimbursement analyses • Monitor reimbursement, customer, and competitive environments to identify opportunities and risks • Present reimbursement and economic strategies to physicians, administrators, and executive leadership • Develop reimbursement tools and tactics to support provider coverage and payment • Identify and engage key hospital decision-makers (e.g., chargemaster, CFO, compliance, contracting) • Track health economics and reimbursement policy trends impacting Histotripsy and competitors • Provide actionable assessments of local reimbursement environments to guide strategy and execution • Lead analyses and develop recommendations to address economic adoption barriers • Engage local payers to request coverage and appropriate payment • Plan and facilitate meetings with local payers and KOLs to influence coverage and payment • Travel, as needed, to support reimbursement execution, including site visits, sales meetings, trainings, and tradeshows

🎯 Requisitos

• Bachelor’s degree required; Master’s degree preferred • 8+ years of experience in health economics, reimbursement, or market access within the medical device industry; RF Ablation or Oncology experience strongly preferred • Deep expertise in U.S. public and commercial payer reimbursement, including coverage, coding, and payment methodologies • Demonstrated field reimbursement management experience, including hospital capital equipment, Category III CPT codes, revenue cycle management, physician payment, and Medicare and private payer models; oncology experience a plus • Strong understanding of provider, payer, and revenue cycle decision-making, including private payer medical policies and contracts • Experience working cross-functionally in regulated environments, partnering with clinical, commercial, and policy stakeholders • Ability to interpret and apply clinical and economic evidence to develop and position compelling value propositions for providers, payers, professional societies, and Medicare • Background in hospital administration, physician practice, payer organizations, health economics/outcomes research, or industry reimbursement roles • Excellent analytical, presentation, and communication skills, with demonstrated ability to influence, manage conflict, and drive alignment.

🏖️ Benefícios

• Health insurance • Dental insurance • Vision insurance • Life insurance • Short-term and long-term disability insurance • 401(k) • Paid time off • bonus