Field Reimbursement Manager – Northeast Region

🕒 il y a 14 jours

🦌 Connecticut, Maine, +5 états de plus – Distant

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💵 $160 000 - $190 000 / an

⏰ Temps Plein

🟠 Senior

🔴 Expert

👔 Manager

🗣️🇺🇸🇬🇧 Anglais requis

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Logo of Inspire Medical Systems

Inspire Medical Systems

1001 - 5000 employés

Fondée en 2007

🏥 Santé

🏭 Fabrication

🔧 Matériel

💰 €133 400 000 Post-IPO Equity - Inspire Medical Systems en 2020-04

Healthcare • Manufacturing • Hardware

Inspire Medical Systems est une entreprise de technologie médicale qui développe et commercialise un système de neurostimulation implantable propriétaire (Inspire Therapy) pour le traitement de l'apnée obstructive du sommeil modérée à sévère. L'entreprise se concentre sur des solutions peu invasives, soutenues par une approbation de la FDA, des données cliniques et une couverture par les payeurs pour atteindre les patients via les prestataires de soins de santé et les payeurs.

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

🎯 Exigences

• 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%

🏖️ Avantages

• 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

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