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Manager, Market Access and Reimbursement

🕒 August 11

🦌 Connecticut, Maine, +8 more states – Remote

infoinfo

💵 $136k - $170k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

Where this job comes from

Posted on Arthrex's careers page, not through a job board

First seen by Remote Rocketship August 11

Logo of Arthrex

Arthrex

1001 - 5000 employees

🏭 Manufacturing

🏥 Healthcare

💊 Pharmaceuticals

Manufacturing • Healthcare • Pharmaceuticals

Arthrex is a global medical device company and leader in new product development and medical education in orthopedics. With a corporate mission of Helping Surgeons Treat Their Patients Better®, Arthrex has pioneered the field of arthroscopy and developed more than 1,000 innovative products and surgical procedures each year to advance minimally invasive orthopedics worldwide. The company is committed to delivering uncompromising quality to healthcare professionals and the millions of patients whose lives they impact.

📋 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 company strategies and field reimbursement initiatives, including HCP engagement, support, and communication • Work with Sales, Product Management, and Strategic Development teams to improve patient access • Educate and train the Sales team and agencies on US reimbursement, including coding, coverage, payment, contracting, and product 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, provide education, 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 payer and intermediary interactions • 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 both 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 effectively 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 (remote connectivity, 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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