[Hiring] Reimbursement Liaison @Glaukos

Role Description

The Reimbursement Liaison will serve as an expert in reimbursement policies, as well as patient and provider support, to ensure patients have access to Glaukos’ sight-saving technologies. The Reimbursement Liaison works with physician practices (both private and hospital-affiliated institutions). They interact directly with key management personnel, providers, and staff members to assure patient access to care. This individual appropriately educates HCPs and their office staff on:

• Clinical documentation
• Securing treatment approvals
• Patient tracking
• Claim submission
• Reconciliation management
• Patient education
• Drug inventory
• Patient copay assistance
• Drug acquisition channels

This position helps HCPs understand barriers that may impede or delay appropriate patient access to treatment and/or prevent optimal patient outcomes. Additionally, the Reimbursement Liaison provides education on appropriate and accurate billing and coding practices for Glaukos’ products in line with payer requirements to the highest levels of specificity.

This candidate must be organized and detail-oriented. Demonstrated teamwork and collaboration abilities with high emotional intelligence in managing multiple business initiatives and cross-functional relationships will be a requirement.

Qualifications

• Bachelor's Degree in related field; MBA or MPH preferred
• 8 years of experience working with specialty pharmaceuticals or surgical devices required
• Minimum of 3 years “direct” reimbursement/healthcare policy experience required
• Previous sales, district management, field reimbursement, hospital or practice experience preferred
• Eyecare experience preferred
• Reimbursement experience with physician-administered injectables and/or medical devices, Category III CPT codes and/or miscellaneous J-codes
• Payer/insurance coverage experience with Medicare, Medicare Advantage, VA/Tri-Care, Commercial and Medicaid plans
• Ability to travel adequately to cover territory, as well as overnight travel (~50%)
• Proven record of accomplishment in achieving objectives and corporate goals with minimal direct supervision
• Demonstrated creativity, situation analysis/problem-solving skills, and analytical skill ability
• Excellent communication skills, including written, verbal, and listening
• Strong presentation and training skills
• Demonstrated leadership and project management skills
• Significant experience working with a Patient Service Center/Hub
• Successful navigation of complex authorization processes for specialty medications, Orphan, or Rare disease
• Educate Healthcare Professionals on the availability of patient support programs such as Co-Pay Assistance and Patient Assistance Programs

Requirements

• Demonstrates positive leadership, without authority, to peers, upper management, and other stakeholders
• Successfully completes assigned training
• Consistently demonstrates uncompromised ethics and integrity
• Helps others understand legal and regulatory parameters related to anti-kickback statutes, fraud and abuse, off-label promotion, and OIG guidance related to patient assistance programs

Benefits

• Generous
• Innovative
• Leadership-driven
• Family-oriented
• Socially responsible

Company Description

Founded in 1998, Glaukos Corporation is an ophthalmic pharmaceutical and medical technology company focused on developing and commercializing novel therapies for the treatment of glaucoma, corneal disorders, and retinal diseases. Our mission at Glaukos is to truly transform vision by pioneering novel, dropless therapies that can meaningfully advance the standard of care and improve the lives of patients suffering from chronic, sight-threatening eye diseases.

Innovation is at the core of everything we do, and we are resolute in our commitment to challenge conventional thinking with new treatment alternatives that are supported by real science, robust clinical evidence, and an unrelenting focus on patients.

Our constant pursuit of game-changing technologies that disrupt legacy treatment paradigms is encapsulated in the Glaukos mantra “We’ll Go First,” which articulates our willingness to take chances, our determination to forge new ground, and our commitment to continuous improvement in all that we do.

Our company completed an initial public offering in June of 2015, and our shares are traded on the New York Stock Exchange under the ticker symbol “GKOS”. Our global headquarters is in Aliso Viejo, California with additional locations in San Clemente, California, and Burlington, Massachusetts.

Glaukos Corporation is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex including sexual orientation and gender identity, national origin, disability, protected Veteran Status, or any other characteristic protected by applicable federal, state, or local law.

All offers of employment are contingent upon the successful completion of a background check, including successfully passing a drug screen, based on the position and local regulations.