other
Posted 3 weeks agoField Reimbursement Manager, East (US)
United StatesOn-site
Responsibilities
- Support the education of sales teams to ensure that they are equipped to convey accurate reimbursement information to providers.
- Develop processes to ensure that sales teams escalate reimbursement issues to the FRM and/or Market Access colleagues where appropriate.
- Identify opportunities to secure more widespread adoption of S+N technologies through novel contracting processes that de-risk adoption for providers/payers.
- Assure compliance at all times with company policies and regulations on communicating product value messages and reimbursement information.
Requirements
- Candidates must live in or within close proximity to the following cities and states : New York City, NY; Newark, NJ; Boston, MA; Philadelphia, PA; Providence, RI; Hartford/New Haven, CT; Buffalo, NY; Washington, DC.
- What will you need to be successful? Education: Bachelor’s degree in the business, health sciences, management, healthcare administration or related field.
- Preferred -Advanced Degree (MBA, MS, Etc.)
- experience in reimbursement, billing and coding within the healthcare, biotechnology, pharmaceutical, or surgical device fields. Demonstrated
- experience of establishing reimbursement and overcoming barriers to adoption, preferably in a surgical/medical discipline.
- Experience in the design and deployment of novel contracting solutions would also be advantageous.
- Knowledge: Comprehensive knowledge of healthcare reimbursement practices, billing procedures, compliance, coding, denials, and appeals processes.
- Detailed knowledge of US reimbursement system, coding, coverage and payment systems of Commercial Insurers, Managed Care, Government, and Federal payer sector.
Experience
- Experience: Minimum of 3 years in medical device, biotechnology, pharmaceutical industry that support reimbursement and market access initiatives. 3+ years of
Benefits
- The FRM will educate and support the integration of the product into physician offices, ambulatory surgical centers, and other care settings while providing support on reimbursement-related processes to optimize coverage and payment.
- The initial focus will be supporting the expansion of innovative technology for tympanostomy procedures, one of the highest-volume surgical procedures in the United States.
- This technology has the potential to reduce the trauma associated with tube surgery for patients and their careers while shifting treatment to a lower acuity site of care, which should provide economic benefits for payers and providers.
- Travel: 50-70% Life Unlimited.
- The anticipated base compensation range for this position is $130,000.00 to $150,00.00 USD annually.
- The actual base pay offered to the successful candidate will be based on multiple factors, including but not limited to job-related knowledge/skills, experience, and geographic location.
- Compensation decisions are dependent upon the facts and circumstances of each position and candidate.
- In addition to base pay, we offer competitive bonus and benefits, including medical, dental, and vision coverage, 401(k), tuition reimbursement, medical leave programs, parental leave, generous PTO, paid company holidays, 8 hours of volunteer time annually, and a variety of wellness offerings such as EAP. You.Unlimited.
- Your Future: 401k Matching Program, 401k Plus Program, Discounted Stock Options, Tuition Reimbursement Work/Life Balance: Flexible Personal/Vacation Time Off, Paid Holidays, Flex Holidays, Paid Community Service Day Your Wellbeing: Medical, Dental, Vision, Health Savings Account (Employer Contribution of $500+ annually), Employee Assistance Program, Parental Leave, Fertility and Adoption Assistance Program Training: Hands-On, Team-Customized, Mentorship Extra Perks: Discounts on fitness clubs, travel and
Additional details
- At Smith+Nephew we design and manufacture technology that takes the limits off living.
- The Field Reimbursement Manager (FRM) will work alongside US commercial teams to educate sales teams and engage directly with providers and payers to overcome barriers to the adoption of Smith+Nephew ENT surgical technologies.
- The FRM will be expected to identify novel funding and contracting options to secure more widespread adoption of Smith+Nephew technologies.
- The medical device was designed to allow tympanostomy procedures to be conducted under local anesthetic in a physician's office.
- What will you be doing? Working with US commercial colleagues, prioritize opportunities to secure coverage for ENT surgical technologies through engagement with surgeons/providers & payers.
- Communicate the economic value proposition to payers, providers, and policy makers to secure optimal coverage and reimbursement for S+N ENT technologies.
- Assist in the design and development of customer facing value communication tools (e.g., value dossiers, calculators, PPTs).
- Demonstrated teamwork abilities, strategic thinking, managing multiple initiatives and cross-functional relationships.
- We believe in creating the greatest good for society.
- Our strongest investments are in our people and the patients we serve.