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Arthrex · 1 day ago

Manager, Market Access and Reimbursement - East (remote)

United States

Full-time

Remote

Mid, Senior Level

$137K/yr - $150K/yr

5+ years exp

Arthrex is a global medical device company and leader in orthopedics medical education, seeking a Manager of Market Access and Reimbursement. The successful candidate will support the department's mission to connect patients, providers, and payors, ensuring access to Arthrex's innovative technologies and products while working closely with various teams to enhance patient access initiatives.

Health CareMedical Device

Comp. & Benefits

Responsibilities

Manage special projects (e.g., internal hotline, Chatter) and corresponding activities with accountabilities for successful completion

Educate and train Arthrex’ Sales team and respective agencies, as assigned, on all aspects of U.S. reimbursement (coding, coverage, payment, and contracting) for the product portfolio and messaging in-person, virtual meetings and on-demand phone calls

Develop, manage, and deliver reimbursement educational programs for Arthrex internal (sales reps. & sales leadership) and external (surgeons, hospitals, ASCs, payers) customers

Collaborate with Marketing, Sales, Product Management and Regulatory teams to anticipate market needs and inform the development of customer-facing tools, economic models, and other tactical elements of reimbursement to maximize patient access to Arthrex’s technologies and products

Work in partnership with Sales and Sales leadership to plan and prioritize key customer visits, virtual and in-person, to provide education, and deliver value-based messages to drive patient access

Develop and implement reimbursement, market access, and value-based strategies to promote broader access for patients, in alignment with commercial objectives

Develop and support relationships with local physician champions to support interactions with payors

Monitor and research reimbursement trends, market changes, coverage issues, coding developments, payment methodologies and communicate recommendations

Triage and manage routine internal and external requests

Travel up to 40%

Ensure compliance within functional areas and support the compliance objectives of the organization as a whole

Qualification

Reimbursement expertiseHealthcare policy knowledgeMedical device billingCertified Professional CoderCustomer service orientationSales trainingMicrosoft Office SuiteCRM softwareProject managementCross-functional teamwork

Required

5+ years of experience working in the delivery and/or administration of healthcare, healthcare insurance plan or the medical device industry required

Bachelor's degree required

Certified Professional Coder (CPC) credential or willing to obtain within 1 year of hire date

Detailed knowledge of medical device billing, coding (e.g., CPT, HCPCS, ICD-10, APC, DRG)

Detailed knowledge of payer coverage requirements, Prior Authorization, claim submission, adjudication, and appeals processes

Knowledge of U.S. health care policy, payment systems and contracting methodologies, including Medicare and commercial payers, in inpatient and outpatient, physician office, and ASC/HOPD sites of service

Ability to train sales team members both individually and in groups regarding coding, coverage, reimbursement, and contracting concepts in a way that is easy to understand, credible, and engages the audience

Demonstrated responsiveness and sense of urgency when pursuing goals and completing tasks. Demonstrated ability to set and manage priorities, while managing multiple projects

Ability to work with ambiguity and continuously adapt in a rapidly changing atmosphere

Experience working as part of both functional and cross-functional teams

High customer service orientation with outstanding people skills, including developing relationships at all levels in an organization and directly influencing business objectives

Ability to effectively prioritize and implement multiple workstreams in a dynamic environment of multiple stakeholder audiences

Ability to work independently and effectively with minimal supervision

Demonstrated skills in account management and customer service, including use of CRM (e.g., Salesforce)

Computer literacy (remote connectivity, Microsoft Office Suite)

Must have a valid driver's license with a clean motor vehicle record

Must be able to travel throughout the U.S. via plane, train, or vehicle