Manager, Market Access and Reimbursement

This is a fully remote position, open to applicants in Alabama, +5 more states.

📋 Description

• Provide education and training to Arthrex’s Sales team and agencies regarding US reimbursement, encompassing coding, coverage, payment, and contracting.

• Work collaboratively with Marketing, Sales, Product Management, and Regulatory teams to create customer-facing tools, economic models, and reimbursement materials.

• Partner with Sales leadership to strategize and prioritize customer visits while delivering educational and value-driven messages.

• Formulate and execute reimbursement, market access, and value-based strategies that align with commercial goals.

• Cultivate and maintain relationships with local physician champions to facilitate interactions with payers and intermediaries.

• Act as the primary reimbursement authority supporting the field.

• Assist the Director of Market Access and Reimbursement with field reimbursement initiatives, healthcare provider engagement, support, and communication.

• Ensure compliance within the functional area and contribute to organizational compliance objectives.

• Willingness to travel up to 40%.

⛳️ Requirements

• Minimum of 5 years of experience in healthcare delivery and/or administration, a healthcare insurance plan, or the medical device industry.

• Bachelor’s degree is mandatory.

• Experience in orthopedic medical devices is preferred but not mandatory.

• Previous field reimbursement experience in medical devices is advantageous but not required.

• Certification as a Professional Coder is a plus.

• In-depth knowledge of medical device billing and coding, including CPT, HCPCS, and ICD-10.

• Comprehensive understanding of payer coverage requirements, prior authorization, claim submission, adjudication, and appeals processes.

• Familiarity with US healthcare policy, payment systems, and contracting methodologies involving Medicare and commercial payers.

• Awareness of inpatient and outpatient services, physician offices, and ASC/HOPD sites of service.

• Capability to train sales team members on coding, coverage, reimbursement, and contracting concepts.

• Proficient in setting and managing priorities while handling multiple projects.

• Ability to navigate ambiguity and adjust in a fast-paced environment.

• Experience working within functional and cross-functional teams.

• Strong customer service orientation and interpersonal skills.

• Aptitude for prioritizing and executing multiple workstreams in a dynamic setting.

• Ability to work independently with minimal supervision.

• Experience in account management and customer service, including using CRM systems like Salesforce.

• Proficient in computer skills, including remote connectivity and Microsoft Office Suite.

• Familiarity with software tools, including Microsoft Office Suite and leading analytics and business intelligence software.

• Possession of a valid driver’s license with a clean motor vehicle record.

• Willingness to travel throughout the U.S. via plane, train, or vehicle.

🏝️ 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).

• Eligibility for discretionary Long Term Incentive program.