Reimbursement & Health Economics Manager

🕒 vor 18 Tagen

🐊 Florida, North Carolina, +4 weitere Bundesländer – Remote

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

💵 €140.000 - €200.000 / Jahr

⏰ Vollzeit

🟠 Senior

🔴 Experte

👔 Manager

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HistoSonics, Inc.

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51 - 200 Mitarbeiter

Gegründet 2009

🧬 Biotechnologie

💊 Pharmazie

Healthcare • Biotechnology • Pharmaceuticals

HistoSonics, Inc. ist ein Pionier in der Medizintechnik und hat eine nicht-invasive Therapieplattform mittels eines Schallstrahls entwickelt, die auf einer Behandlung namens Histotripsie basiert. Dieser innovative Ansatz nutzt fokussierten Ultraschall, um gezielt Lebertumoren auf subzellulärer Ebene mechanisch zu zerstören. HistoSonics widmet sich der Weiterentwicklung der Wissenschaft der Histotripsie mit dem Ziel, transformative Vorteile für Patienten und Ärzte weltweit zu bieten, insbesondere durch laufende klinische Studien und Bildungsprogramme.

Beschreibung

• 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

🎯 Anforderungen

• 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.

🏖️ Vorteile

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