Manager, Market Access and Reimbursement

This is a fully remote position, open to applicants in Colorado, +10 more states.

📋 Description

• Provide support to the Market Access and Reimbursement department in facilitating connections among patients, providers, and payors to guarantee access to Arthrex technologies and products.

• Act as the primary reimbursement authority for the field regarding Arthrex product reimbursement.

• Assist the Director of Market Access and Reimbursement in executing company strategies and field reimbursement initiatives, which include engaging, supporting, and communicating with healthcare providers (HCPs).

• Work collaboratively with Sales, Product Management, and Strategic Development teams to enhance patient access.

• Train and educate Arthrex Sales teams and agencies on US reimbursement practices, including coding, coverage, payment, and contracting.

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

• Collaborate with Sales leadership to plan and prioritize customer visits while delivering value-based messaging.

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

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

• Willingness to travel up to 40%.

• Ensure adherence to compliance within the functional area and support organizational compliance goals.

⛳️ Requirements

• A minimum of 5 years of experience in healthcare delivery and/or administration, healthcare insurance plans, or the medical device industry is required.

• A Bachelor’s degree is mandatory.

• Experience in the Orthopedic medical device sector is preferred, but not essential.

• Prior field reimbursement experience in the medical device industry is advantageous, but not a requirement.

• Certification as a Professional Coder is a plus.

• In-depth knowledge of medical device billing and coding practices, 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, including Medicare and commercial payers across various service settings such as inpatient, outpatient, physician offices, and ASC/HOPD.

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

• Proven ability to prioritize and manage multiple projects effectively.

• Adept at working with ambiguity and adapting in a fast-paced environment.

• Experience collaborating within functional and cross-functional teams.

• Excellent interpersonal skills and the ability to develop relationships at all organizational levels.

• Competence in prioritizing and managing multiple workstreams in a dynamic setting.

• Ability to work independently and efficiently with minimal supervision.

• Proven skills in account management and customer service, including experience with CRM systems such as Salesforce.

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

• A valid driver’s license with a clean driving record is required.

• Willingness to travel across the U.S. by plane, train, or vehicle.

• Experience 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).

• Eligibility for a discretionary Long Term Incentive program.