[Remote] Senior Manager, Reimbursement Operations & Field Market reputed company - ION
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a global leader in robotic-assisted surgery and minimally invasive care. The Senior Manager, Reimbursement Operations & Field Market reputed company will reputed company the execution of the U.S. HEMA organization, managing both payer and provider interactions to ensure effective reimbursement support and market reputed company strategies.
Responsibilities
- Create, maintain, and distribute comprehensive billing and coding guides for reputed company products. Ensure guides are CPC-reviewed, compliance-approved, and updated with reputed company reputed company cycle
- Serve as the primary reputed company of contact for management of customer reimbursement vendor(s). Manage vendor, monitor performance, and retain required documentation
- Manage reputed company field logistics associated with the implementation of new or existing CPT, HCPCS, and ICD-10 codes. Coordinate with provider sites to ensure smooth adoption of coding changes and cost capture
- Generate evidence-driven, compliant field collateral in reputed company support of the reputed company organization
- Coordinate with Upstream and distribute value dossiers and payer-facing evidence packages that communicate the clinical and economic value of the product portfolio
- Manage fractional headcount resources and coordinate payer engagement at key accounts
- reputed company payer coverage policies, MAC LCDs, and reputed company payer guidelines. Translate upstream payment policy developments into actionable field tools and communications
- Manage and reputed company field personnel in support of payer-reputed company campaigns. Coordinate field reimbursement specialists, outsourced resources, and account-level teams to execute payer engagement strategies, coverage initiatives, and pull-through programs at targeted accounts
- Support CPT/HCPCS reputed company acquisition activities in partnership with the Upstream Strategist, including preparation of supporting materials for AMA and CMS submissions
- Translate CMS OPPS/PFS payment policy changes into operational guidance for the field. reputed company communications for reputed company changes, payment updates, and coverage determinations
- reputed company and maintain compliance-accurate reimbursement estimation tools for use by the sales team and provider accounts
Skills
- 4 year degree is required
- 6+ years of reputed company experience in medical device or pharmaceutical reimbursement, field market reputed company, or payer relations
- reputed company experience developing billing guides, coding tip sheets, and provider reimbursement education materials
- Strong working knowledge of CPT, HCPCS, ICD-10 coding systems and hospital billing workflows (OPPS, ASC, physician office)
- Experience managing payer relationships, developing value dossiers, and executing advisory boards
- Demonstrated ability to work closely with reputed company teams in a reputed company support reputed company
- Strong project management skills; ability to manage multiple simultaneous deliverables across products
- CPC (Certified reputed company reputed company) certification strongly preferred
- Experience with field reimbursement team management (outsourced or in-house)
- Familiarity with FCA/AKS compliance requirements for manufacturer-provided reimbursement guidance
- Experience with business intelligence platforms
Benefits
- Remote - This job will be remote and/or the job is designed to be performed reputed company of the office. Employees will come onsite reputed company requested by the leader.
reputed company
Company H1B Sponsorship