Manager, Market Access and Reimbursement

Job not on LinkedIn

🕒 August 11

🏈 Alabama, Kentucky, +4 more states – Remote

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💵 $136k - $170k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 20%

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Logo of Artex Risk Solutions

Artex Risk Solutions

501 - 1000 employees

Founded 1997

💸 Finance

🛡️ Insurance

Finance • Insurance • Risk Management

Artex Risk Solutions is a leader in alternative risk management, providing innovative solutions for both large and small organizations. They specialize in creative risk management strategies that help clients optimize their cost of risk, leveraging expertise in capital solutions, specialty risk transfer, and carrier outsourcing services. With a global presence and a commitment to challenging traditional approaches, Artex aims to empower businesses to make informed risk management decisions and enhance their operational efficiency.

📋 Description

• Support the Market Access and Reimbursement department in connecting patients, providers, and payors and ensuring patient access to Arthrex technologies and products • Serve as the primary reimbursement expert supporting the field on reimbursement of Arthrex products • Assist the Director, Market Access and Reimbursement with company strategies related to field reimbursement initiatives, including HCP engagement, support, and communication • Work alongside Sales, Product Management, and Strategic Development teams to improve patient access • Educate and train Arthrex’s Sales team and agencies on U.S. reimbursement, including coding, coverage, payment, contracting, and product portfolio messaging • Collaborate with Marketing, Sales, Product Management, and Regulatory teams to anticipate market needs and develop customer-facing tools, economic models, and reimbursement tactics • Partner with Sales and Sales leadership to plan and prioritize customer visits and deliver value-based messages • Develop and implement reimbursement, market access, and value-based strategies aligned with commercial objectives • Develop and support relationships with local physician champions for interactions with payers and intermediaries • Travel up to 40% • Ensure compliance within the functional area and support organizational compliance objectives

🎯 Requirements

• 5+ year(s) of experience working in the delivery and/or administration of healthcare, healthcare insurance plan or the medical device industry required • Bachelor’s degree required • Experience in Orthopedic medical device desired, but not required • Prior field reimbursement experience in medical device desired, but not required • Certified Professional Coder is a plus • Detailed knowledge of medical device billing, coding (e.g., CPT, HCPCS, ICD-10) • Detailed knowledge of payer coverage requirements, Prior Authorization, claim submission, adjudication and appeals processes • Knowledge of US health care policy, payment systems and contracting methodologies, including Medicare and commercial payers, in inpatient and outpatient, physician office and ASC/HOPD sites of service • Ability to train sales team members individually and in groups regarding coding, coverage, reimbursement and contracting concepts • Demonstrated responsiveness and sense of urgency when pursuing goals and completing tasks • Demonstrated ability to set and manage priorities while managing multiple projects • Ability to work with ambiguity and continuously adapt in a rapidly changing atmosphere • Experience working as part of both functional and cross-functional teams • High customer service orientation with outstanding interpersonal skills • Ability to develop relationships at all levels in an organization and directly influence business objectives • Ability to prioritize and implement multiple workstreams in a dynamic environment • Ability to work independently and effectively with minimal supervision • Demonstrated skills in account management and customer service, including use of CRM (e.g., Salesforce) • Computer literacy, including remote connectivity and Microsoft Office Suite • Must have a valid driver’s license with a clean motor vehicle record • Must be able to travel throughout the U.S. via plane, train or vehicle • Experience working with Microsoft Office Suite and industry-leading Analytics and Business Intelligence software

🏖️ Benefits

• Medical, Dental and Vision Insurance • Company-Provided Life Insurance • Voluntary Life Insurance • Flexible Spending Account (FSA) • Supplemental Insurance Plans (Accident, Cancer, Hospital, Critical Illness) • Matching 401(k) Retirement Plan • Annual Bonus • Wellness Incentive Program • Gym Reimbursement Program • Tuition Reimbursement Program • Trip of a Lifetime • Paid Parental Leave • Paid Time Off • Volunteer PTO • Employee Assistance Provider (EAP) • Eligible for discretionary Long Term Incentive program

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