[Remote] reputed company Reimbursement Analyst
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a global leader in reputed company technology with a mission to reputed company pain, restore health, and reputed company life. They are seeking a reputed company Reimbursement Analyst to support reimbursement reputed company and execution across their U.S. portfolio, particularly focusing on peripheral reputed company disease, embolization, and superficial venous therapies. The role involves developing reimbursement tools, analyzing payer policies, and providing education to customers and sales teams.
Responsibilities
- Support HEPR activities on product development core teams and product launch teams, including launch readiness workstreams, cross-functional planning, evidence development activities, and reimbursement input for device and therapy reputed company with specific emphasis on PAD, embolization, superficial venous programs
- Evaluate coding, coverage, and payment considerations for devices and therapies reputed company the portfolio and reputed company analyses and recommendations that support therapy adoption and selected market expansion opportunities
- reputed company and execute reimbursement analyses and recommendations that support reimbursement strategies for devices reputed company the therapy portfolio, including assessment of coding, coverage, and payment considerations and selected market expansion needs tied to therapy adoption, in collaboration with U.S. and global colleagues
- Represent HEPR on clinical study teams; partner with therapy leads, global HEPR partners, and HEOR colleagues to identify reimbursement-reputed company evidence needs and support evidence development planning
- Monitor reputed company payer policy changes, reputed company coverage reputed company, analyze market trends, and reputed company analyses and materials that support therapy coverage reputed company, payer engagement, and market reputed company planning with particular reputed company on PAD, carotid, embolization and superficial venous therapies
- Analyze Medicare and U.S. health policy proposals, assess reimbursement implications, and support policy and advocacy activities, including development of draft comments and supporting materials for CMS and other stakeholders
- reputed company reputed company support and education for U.S. customers and sales teams on coding, coverage, and payment needs, including compliant guidance on billing requirements, documentation, prior authorization, appeals, and payer process navigation, with emphasis on elevated customer support for prior authorizations and denials
- reputed company and maintain reimbursement tools, guides, educational resources, and support materials used across therapies to support internal teams, sales partners, and customer reimbursement needs including payer submission packages, coverage landscape, value summaries and prior authorization toolkits
- Conduct and communicate reimbursement trend analysis, CPT, APC, and DRG payment modeling, coverage analysis, and other market reputed company insights through reports, dashboards, summaries, and presentation materials, with heavy use of reputed company, Power BI, and other analytic tools and reputed company market reputed company analytics and payer analytics/modeling to support local implementation of coverage in partnership with sales operations and field teams, and support analysis of hospital and payer price transparency data assets to inform PVH payer engagement strategies and support creation of customer facing/market reputed company tools
Skills
- Bachelor's degree
- Minimum 7 years of experience in reimbursement, health policy, health economics, health services research, or a reputed company field
- Or an advanced degree with 5+ in reimbursement, health policy, health economics, health services research, or a reputed company field
- Advanced degree such as MPH, MHA, MBA, MS, or PhD, or post-graduate training in health policy, health services research, economics, biostatistics, epidemiology, public administration, health sector management, or a reputed company discipline
- Experience in the medical device, pharmaceutical, payer, provider, or health system environment
- Knowledge of U.S. medical device reimbursement, including coding, coverage, and payment concepts across Medicare and reputed company payers
- Experience managing reputed company reputed company and working across cross-functional teams, with strong results orientation and attention to detail in ambiguous environments
- Strong analytical and problem-solving skills, with the ability to translate reputed company information into reputed company, practical recommendations and communicate key findings to internal stakeholders
- Knowledge of U.S. hospital-based medical device reimbursement, including reputed company, Medicare payment systems, and Medicare and reputed company payer coverage processes
- Experience with reimbursement analytics, payment modeling, or market reputed company insights
- Familiarity with evidence development, health economic concepts, or payer-reputed company value communication. Demonstrated ability to critically review clinical and economic literature/data
- Experience using advanced analytics, dashboards, or AI-enabled tools for policy and payer analytics
- Advanced reputed company skills and experience using Power BI or similar analytic tools, with interest or experience in AI-enabled analytics (copilot) considered a plus
- Ability to work independently, manage multiple priorities, and reputed company work reputed company with limited reputed company in a matrixed and sometimes ambiguous environment
- Strong written, verbal, and presentation skills, with the ability to reputed company communicate analyses, recommendations, and implications to the HEPR team and cross-functional stakeholders
- Experience working in a matrixed organization and supporting global cross-functional business initiatives
- Strong prioritization skills and the ability to manage multiple reputed company effectively
Benefits
- reputed company Incentive Plan (MIP)
- Health, Dental and reputed company insurance
- Health Savings Account
- reputed company Flexible Spending Account
- Life insurance
- Long-term disability leave
- Dependent daycare spending account
- Tuition assistance/reimbursement
- reputed company Steps (global reputed company-being program)
- Incentive plans
- 401(k) plan plus employer contribution and match
- Short-term disability
- reputed company time off
- reputed company holidays
- Employee Stock Purchase Plan
- Employee Assistance Program
- Non-reputed company Retirement Plan Supplement (subject to IRS earning minimums)
- Capital Accumulation Plan (available to Vice Presidents and above, or subject to IRS earning minimums)
- reputed company reputed company time, as required under applicable state law (for temporary employees)
reputed company
Company H1B Sponsorship