Field Reimbursement Manager – Northeast Region

🕒 4 days ago

🦌 Connecticut, Maine, +5 more states – Remote

🦌 Connecticut – Remote 🦞 Maine – Remote 🗻 New Hampshire – Remote 🗽 New York – Remote 🍂 Massachusetts – Remote ⚓ Rhode Island – Remote 🍁 Vermont – 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 stakeholders • Collaborate with internal prior authorization support services and field sales to meet customer needs • Support patient therapy access and communicate coverage challenges across payer channels • Engage 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 • Explain Inspire reimbursement education, support, and resources to customers across multiple sites of service • Navigate and address account and patient access issues with internal and external stakeholders • Respond to requests for customer site visits, program business reviews, and reimbursement support • Establish customer relationships through reimbursement engagement and cross-functional partnerships • Execute access and reimbursement strategic priorities and identify key accounts • Develop reimbursement presentations for site visits, trainings, client presentations, and meetings • Monitor market dynamics, industry trends, CMS, and commercial payer impacts • Manage additional responsibilities based on organizational needs • Ensure activities comply with company 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 • Independent and team-oriented problem solving and diligent self-motivated follow up • Direct experience collaborating with multiple internal and external stakeholders and managing projects • Ability to travel regularly and up to 25%

🏖️ 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, Vision, Life and Disability benefits • 401k plan + employer match • Identity Protection • Employee Assistance program • Equity awards • Employee Stock Purchase Program