Field Reimbursement Manager – Northeast Region

This is a fully remote position, open to applicants in Connecticut, +6 more states.

📋 Description

• Provide assistance to enhance Inspire access and reduce reimbursement obstacles for both patients and providers.

• Foster relationships with providers, their offices, Ambulatory Surgery Centers, outpatient hospital facilities, and other key stakeholders.

• Work in collaboration with internal prior authorization support teams and field sales to address customer needs.

• Aid in patient therapy access and convey coverage challenges across various payer channels.

• Engage new accounts for training in billing and coding, audit education, and program review support.

• Act as a subject matter expert on coding, coverage, and payment for both Medicare and commercial payers.

• Communicate Inspire reimbursement education, support, and resources to clients across diverse service locations.

• Navigate and resolve account and patient access issues in collaboration with internal and external stakeholders.

• Address requests for customer site visits, program business reviews, and reimbursement assistance.

• Build customer relationships through reimbursement engagement and cross-functional collaborations.

• Implement access and reimbursement strategic objectives and identify key accounts.

• Create reimbursement presentations for site visits, training sessions, client presentations, and meetings.

• Monitor market trends, industry dynamics, CMS updates, and impacts from commercial payers.

• Manage additional responsibilities as per organizational requirements.

• Ensure activities align with company policies, applicable laws, regulations, and industry standards.

⛳️ Requirements

• A bachelor’s degree in business, science, or healthcare administration is required.

• Over 7 years of experience in reimbursement/market access and/or proven success in handling complex insurance payer claims, denials, and appeals (Medicare and commercial).

• In-depth knowledge of coding, coverage, and payment for implantable medical devices within the healthcare ecosystem, including HCPs, ASCs, and hospitals.

• Experience in direct engagement with HCPs across multiple service locations and in group educational environments.

• Outstanding communication abilities with both in-person and virtual presentation skills.

• Strong problem-solving skills, both independently and as part of a team, with a diligent approach to follow-up.

• Proven experience working collaboratively with various internal and external stakeholders while managing projects.

• Willingness to travel regularly, up to 25% of the time.

🏝️ Benefits

• Comprehensive benefits package.

• 401k matching contributions.

• Employee Stock Purchase Program (ESPP).

• Flexible time off (FTO) policy.

• Tuition reimbursement opportunities.

• Multiple health insurance plan options available.

• Employer contributions to Health Savings Account.

• Dental, Vision, Life, and Disability benefits.

• 401k plan with employer matching.

• Identity Protection services.

• Employee Assistance program.

• Equity awards offered.

• Participation in Employee Stock Purchase Program.