Manager, Market Access and Reimbursement

This is a fully remote position, open to applicants in Connecticut, +9 more states.

📋 Description

• Act as the main reimbursement authority providing support to the field regarding the reimbursement of Arthrex products.

• Collaborate with the Director of Market Access and Reimbursement on company strategies and initiatives related to field reimbursement.

• Train and educate the Sales team and agencies on US reimbursement processes, including coding, coverage, payment, and contracting.

• Work alongside Marketing, Sales, Product Management, and Regulatory teams to create tools for customers, economic models, and reimbursement strategies.

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

• Formulate and execute reimbursement, market access, and value-oriented strategies to enhance patient access.

• Establish and nurture relationships with local physician advocates for interactions with payers and intermediaries.

• Ensure compliance within the functional area while supporting the organization's compliance goals.

• Willingness to travel up to 40%.

⛳️ Requirements

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

• A Bachelor's degree is mandatory.

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

• Previous field reimbursement experience in the medical device industry is advantageous but not required.

• Certification as a Professional Coder is an asset.

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

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

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

• Knowledge of various service settings including inpatient, outpatient, physician offices, and ASC/HOPD.

• Proficient in training sales team members on coding, coverage, reimbursement, and contracting concepts.

• Proven ability to establish and manage priorities while handling multiple projects.

• Capability to work effectively amidst ambiguity and adapt to a fast-paced environment.

• Experience collaborating in both functional and cross-functional teams.

• Strong customer service orientation alongside excellent interpersonal skills.

• Ability to prioritize and manage multiple workstreams with diverse stakeholder groups.

• Proficient in working independently and efficiently with minimal supervision.

• Demonstrated account management and customer service skills, including experience with CRM tools like Salesforce.

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

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

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

• Experience with Microsoft Office Suite, 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 discretionary Long Term Incentive program.