Reimbursement & Health Economics Manager

🕒 il y a 22 jours

🐊 Florida, North Carolina, +4 états de plus – Distant

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

💵 €140 000 - €200 000 / an

⏰ Temps Plein

🟠 Senior

🔴 Expert

👔 Manager

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HistoSonics, Inc.

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51 - 200 employés

Fondée en 2009

🧬 Biotechnologie

💊 Pharmaceutique

Healthcare • Biotechnology • Pharmaceuticals

HistoSonics, Inc. est une entreprise de technologie médicale pionnière qui a développé une plateforme de thérapie par faisceau sonore non invasive utilisant un traitement appelé histotripsie. Cette approche innovante exploite les ultrasons focalisés pour détruire mécaniquement les tumeurs hépatiques ciblées à un niveau sous-cellulaire. HistoSonics se consacre à l'avancement de la science de l'histotripsie, visant à offrir des avantages transformateurs aux patients et aux médecins du monde entier, notamment à travers ses essais cliniques en cours et ses programmes éducatifs.

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 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

🎯 Exigences

• 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.

🏖️ Avantages

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