Manager, Market Access and Reimbursement

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

📋 Description

• Assist the Market Access and Reimbursement team in linking patients, providers, and payors to guarantee access to Arthrex technologies and products.

• Act as the primary reimbursement authority supporting the field on reimbursement matters related to Arthrex products.

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

• Provide education and training to Sales teams and agencies on U.S. reimbursement processes, including coding, coverage, payment, and contracting.

• Work alongside Marketing, Sales, Product Management, and Regulatory teams to foresee market demands and create customer-facing tools, economic models, and reimbursement strategies.

• Team up with Sales leadership to organize and prioritize customer visits, offer education, and communicate value-based messages.

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

• Build relationships with local physician advocates to facilitate interactions with payers and intermediaries.

• Ensure compliance within functional areas and support organizational compliance objectives.

• Travel across the U.S., up to 40% of the time.

⛳️ Requirements

• A minimum of 5 years’ experience in healthcare delivery/administration, a healthcare insurance plan, or the medical device sector.

• Bachelor’s degree is mandatory.

• A Master’s degree or other advanced qualifications is advantageous.

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

• Prior experience in field reimbursement for medical devices is beneficial but not a requirement.

• Certification as a Professional Coder is a bonus.

• 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.

• Familiarity with U.S. healthcare policy, payment systems, and contracting methods, including Medicare and commercial payers.

• Insight into inpatient, outpatient, physician office, and ASC/HOPD service sites.

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

• Proficient in setting and managing priorities across multiple projects.

• Ability to navigate ambiguity and adapt in a swiftly changing environment.

• Experience in working with both functional and cross-functional teams.

• Strong customer service and interpersonal capabilities, including relationship building and influencing business goals.

• Skilled in prioritizing and executing multiple workstreams with various stakeholder groups.

• Ability to work independently with minimal supervision.

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

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

• Valid driver's license with a clean driving record.

• Willingness to travel throughout the U.S. via 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.