Field Reimbursement Manager

🕒 4 days ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $160k - $190k / year

⏰ Full Time

🟠 Senior

🔴 Lead

👔 Manager

👻 Ghost score 0%

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Inspire Medical Systems

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2007

🏥 Healthcare

🏭 Manufacturing

🔧 Hardware

💰 $133.4M Post-IPO Equity - Inspire Medical Systems on 2020-04

Healthcare • Manufacturing • Hardware

Inspire Medical Systems is a medical technology company that develops and commercializes a proprietary, implantable neurostimulation system (Inspire Therapy) for the treatment of moderate to severe obstructive sleep apnea. The company focuses on minimally invasive solutions backed by FDA approval, clinical data, and payer coverage to reach patients through healthcare providers and payers.

📋 Description

• Provide support to optimize Inspire access and minimize reimbursement barriers for patients and providers • Build relationships with providers, providers’ offices, Ambulatory Surgery Centers, hospital outpatient facilities, and other cross-functional internal and external stakeholders • Work independently in a fast-paced, highly visible environment and collaboratively with internal prior authorization support services and field sales • Support patient therapy access and communicate coverage challenges across specific payer channels with guidance on navigating and minimizing potential hurdles • Engage with new accounts for billing and coding training, audit education, and program review support • Serve as subject matter expert on coding, coverage, and payment for Medicare and commercial payers • Communicate and explain Inspire reimbursement education, support, and resources to customers across multiple sites of service • Navigate and address individual account and patient access issues with internal and external stakeholders • Respond to requests for customer site visits, Inspire program business reviews, and reimbursement needs/support • Establish and maintain customer relationships through reimbursement-related engagement and cross-functional partnerships • Execute access and reimbursement strategic priorities and identify and prioritize key accounts • Collaborate in developing reimbursement presentations for site visits, trainings, client presentations, and meetings • Monitor market dynamics and industry trends related to CMS and commercial payers • Manage additional related responsibilities based on organizational needs • Ensure activities align with company quality system procedures, applicable laws, regulations, and industry standards

🎯 Requirements

• Bachelor’s degree in business, science or healthcare administration required • 7+ years of experience in reimbursement/market access and/or successful experience working with complex insurance payer claims, denials, and appeals (Medicare and commercial) • Demonstrated knowledge in coding, coverage, and payment for implantable medical devices across the healthcare landscape including HCPs, ASCs, hospitals • Experience engaging directly with HCPs in multiple sites of service and in group educational settings • Excellent communication and in person and virtual presentation skills to interface with customers, cross-functional partners, and internal reimbursement and prior authorization partners • Independent and team-oriented problem solving and diligent self-motivated follow up • Direct experience collaborating with multiple internal and external stakeholders and managing project • Ability to travel regularly and up to 25% • Preferred: Implantable medical device experience • Preferred: Experience with Neurology products • Preferred: Coding certification (CPC, COC)

🏖️ Benefits

• Excellent benefits • 401k matching • Employee Stock Purchase Program (ESPP) • Flexible time off (FTO) • Tuition reimbursement • Multiple health insurance plan options • Employer contributions to Health Savings Account • Dental benefits • Vision benefits • Life benefits • Disability benefits • 401k plan + employer match • Identity Protection • Employee Assistance program • Equity awards • Employee Stock Purchase Program