Reimbursement & Health Economics Manager

🕒 May 20

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Logo of HistoSonics, Inc.

HistoSonics, Inc.

51 - 200 employees

Founded 2009

🧬 Biotechnology

💊 Pharmaceuticals

Healthcare • Biotechnology • Pharmaceuticals

HistoSonics, Inc. is a pioneering medical technology company that has developed a non-invasive sonic beam therapy platform using a treatment called histotripsy. This innovative approach harnesses focused ultrasound to mechanically destroy targeted liver tumors at a sub-cellular level. HistoSonics is dedicated to advancing the science of histotripsy, aiming to provide transformative benefits for patients and physicians worldwide, particularly through its ongoing clinical trials and educational programs.

📋 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

🎯 Requirements

• 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.

🏖️ Benefits

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

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