[Hiring] Manager of Market Access and Reimbursement @Arthrex

Role Description

The Manager, Market Access and Reimbursement will support the Market Access and Reimbursement department to achieve its mission to connect patients, providers, and payors and ensure patients can access our best-in-class technologies and products. They will serve as the primary reimbursement expert supporting the field in all areas related to reimbursement of Arthrex products and assist the Director, Market Access and Reimbursement on execution of company strategies related to field reimbursement initiatives, including HCP engagement, support and communication.

This role will work alongside the Sales, Product Management, and Strategic Development teams to improve patient access for our best-in-class technologies and products.

Essential Duties and Responsibilities

• Educate and train Arthrex’ Sales team and its respective agencies on all aspects of US reimbursement (coding, coverage, payment, and contracting) for the product portfolio and messaging in-person, virtual meetings and on-demand phone calls.
• 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 ultimately 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 payers and intermediaries.
• Travel up to 40%.
• Ensure compliance within functional area and support the compliance objectives of the organization as a whole.

Qualifications

• 5+ year(s) of experience working in the delivery and/or administration of healthcare, healthcare insurance plan or the medical device industry required.
• Bachelor’s degree required.
• Master’s Degree or other advanced degree is a plus.

Requirements

• Experience in Orthopedic medical device desired, but not required.
• Prior field reimbursement experience in medical device desired, but not required.
• Certified Professional Coder is a plus.
• Detailed knowledge of medical device billing, coding (e.g., CPT, HCPCS, ICD-10).
• Detailed knowledge of payer coverage requirements, Prior Authorization, claim submission, adjudication and appeals processes.
• Knowledge of US 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 interpersonal 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.

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).
• Eligible for discretionary Long Term Incentive program.