Manager, Market Access and Reimbursement

Job not on LinkedIn

🕒 2 days ago

🏈 Alabama, Kentucky, +4 more states – Remote

🏈 Alabama – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🌪️ Oklahoma – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote

💵 $136k - $170k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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Artex Risk Solutions

WebsiteLinkedInAll Job Openings

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 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 field reimbursement initiatives, HCP engagement, support, and communication • Educate and train Sales teams and agencies on U.S. reimbursement, including coding, coverage, payment, and contracting • 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 leadership to plan and prioritize customer visits, provide education, and deliver value-based messages • Develop and implement reimbursement, market access, and value-based strategies aligned with commercial objectives • Develop relationships with local physician champions to support interactions with payers and intermediaries • Ensure functional-area compliance and support organizational compliance objectives • Travel throughout the U.S., up to 40%

🎯 Requirements

• 5+ years of experience working in healthcare delivery/administration, a healthcare insurance plan, or the medical device industry • Bachelor’s degree required • Master’s degree or other advanced degree is a plus • Orthopedic medical device experience desired but not required • Prior field reimbursement experience in medical devices desired but not required • Certified Professional Coder certification is a plus • Detailed knowledge of medical device billing and coding, including CPT, HCPCS, and ICD-10 • Detailed knowledge of payer coverage requirements, prior authorization, claim submission, adjudication, and appeals • Knowledge of U.S. healthcare policy, payment systems, and contracting methodologies, including Medicare and commercial payers • Knowledge of inpatient, outpatient, physician office, and ASC/HOPD sites of service • Ability to train sales team members on coding, coverage, reimbursement, and contracting concepts • Ability to set and manage priorities and multiple projects • Ability to work with ambiguity and adapt in a rapidly changing environment • Experience working in functional and cross-functional teams • Strong customer service and interpersonal skills, including relationship development and influencing business objectives • Ability to prioritize and implement multiple workstreams with multiple stakeholder audiences • Ability to work independently with minimal supervision • Account management and customer service experience, including CRM use such as Salesforce • Computer literacy, including remote connectivity and Microsoft Office Suite • Valid driver’s license with a clean motor vehicle record • Ability to travel throughout the U.S. by plane, train, or vehicle • Experience with Microsoft Office Suite and analytics/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