Senior Manager, Reimbursement

🕒 Maio 8

🐊 Florida, Texas – Remoto

🐊 Florida – Remote 🤠 Texas – Remote

⏰ Tempo Integral

🟠 Sênior

👔 Gerente

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INSIGHTEC

SiteLinkedInTodas as Vagas

201 - 500 funcionários

💊 Farmacêutico

🔬 Ciência

💰 $100.000.000 Debt Financing em 2022-08

Healthcare • Pharmaceuticals • Science

A INSIGHTEC é uma empresa de tecnologia médica que desenvolve sistemas de ultrassom focalizado guiado por ressonância magnética, sem incisões (notadamente Exablate Neuro/Prime), para o tratamento de distúrbios neurológicos do movimento, como o Tremor Essencial refratário a medicamentos e a Doença de Parkinson com predomínio de tremor. Sua plataforma permite procedimentos neurocirúrgicos ambulatoriais, precisos e sem cortes, utilizando energia acústica com monitoramento por ressonância magnética em tempo real. A empresa colabora com hospitais, neurocirurgiões e centros de tratamento para implantar seus dispositivos conforme as aprovações regulatórias (por exemplo, PMA P150038). A INSIGHTEC foca no avanço dos cuidados com os pacientes por meio de pesquisa clínica, dispositivos médicos em conformidade regulatória e treinamento/suporte para os profissionais de saúde.

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 commercial teams 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 customer facing tools related to billing and coding, clinical publications, and reimbursement analyses • Monitor reimbursement, customer, and competitive environments to identify opportunities and risks • Develop reimbursement tools and tactics to support provider coverage and payment • Track reimbursement policy trends impacting INSIGHTEC’s technology • Provide actionable assessments of local reimbursement environments to guide strategy and execution • Engage local payers to request coverage • Plan and facilitate meetings as needed with local payers and KOLs to influence coverage • Travel, as needed, to support reimbursement execution, including site visits, commercial meetings, trainings, and tradeshows

🎯 Requisitos

• Bachelor’s degree required • 8+ years of experience in reimbursement, or market access within the medical device industry • 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 with disposables, CPT coding processes, revenue cycle management, physician payment, as well as Medicare and private payer models • 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 drive execution of plans with support from other functions • 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 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 • Analytical competencies to structure complex issues, synthesize key points, communicate and present in an easily understandable manner • Ability to grow with the organization and willingness to assume additional responsibilities over time • Solid computer skills with a working knowledge of Word, PowerPoint, Outlook and Excel.

🏖️ Benefícios

• Competitive perks and benefits in each region • Flexible work environment • Professional development opportunities