Senior Manager, Reimbursement

🕒 May 8

🐊 Florida, Texas – Remote

🐊 Florida – Remote 🤠 Texas – Remote

⏰ Full Time

🟠 Senior

👔 Manager

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INSIGHTEC

WebsiteLinkedInAll Job Openings

201 - 500 employees

💊 Pharmaceuticals

🔬 Science

💰 $100M Debt Financing on 2022-08

Healthcare • Pharmaceuticals • Science

INSIGHTEC is a company pioneering the use of incisionless focused ultrasound technology to treat neurological disorders such as Essential Tremor and Tremor-Dominant Parkinson’s Disease. Their Exablate Neuro platform allows for precision treatment that is incision-free, guided by MRI and offers real-time safety monitoring, often with immediate results and minimal risks. By targeting specific areas of the brain with acoustic energy, they provide a non-invasive alternative to traditional neurosurgery, promoting life-changing transformations for patients all over the world. INSIGHTEC is committed to advancing healthcare innovation and improving patient care through this transformative technology.

📋 Description

• 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

🎯 Requirements

• 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.

🏖️ Benefits

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