Senior Manager, Reimbursement

🕒 il y a 1 mois

🐊 Florida, Texas – Distant

🐊 Florida – Remote 🤠 Texas – Remote

⏰ Temps Plein

🟠 Senior

👔 Manager

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INSIGHTEC

Site WebLinkedInTous les Emplois

201 - 500 employés

💊 Pharmaceutique

🔬 Science

💰 €100 000 000 Debt Financing en 2022-08

Healthcare • Pharmaceuticals • Science

INSIGHTEC est une entreprise de technologie médicale qui développe des systèmes à ultrasons focalisés guidés par IRM sans incision (notamment Exablate Neuro/Prime) pour le traitement des troubles neurologiques moteurs tels que le tremblement essentiel résistant aux médicaments et la maladie de Parkinson à dominance de tremblement. Sa plateforme permet des procédures neurochirurgicales précises, sans incision et en ambulatoire utilisant l'énergie acoustique avec un suivi en temps réel par IRM, et l'entreprise collabore avec des hôpitaux, des neurochirurgiens et des centres de traitement pour déployer ses dispositifs conformément aux approbations réglementaires (par exemple, PMA P150038). INSIGHTEC se concentre sur l'amélioration des soins aux patients grâce à la recherche clinique, à des dispositifs médicaux conformes à la réglementation, ainsi qu'à la formation et au soutien des prestataires de soins de santé.

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

🎯 Exigences

• 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.

🏖️ Avantages

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