[Hiring] Senior Field Reimbursement Manager @Olympus Corporation of the Americas

Role Description

The ideal candidate will live near a major airport in one of these locations: California, San Francisco; California, Los Angeles; Colorado, Denver; Arizona, Phoenix; Washington, Seattle; Utah, Salt Lake City.

The Senior Field Reimbursement Manager will support products within the Urology and Respiratory business units that treat BPH, prostate cancer, kidney stone removal, and severe emphysema. The Senior FRM will be responsible for customer-related engagement related to reimbursement, conducting reimbursement and economics training, and business reviews for the Olympus customers. In conjunction with Olympus corporate reimbursement and sales and marketing teams, the candidate will implement the reimbursement and economic business plans with economic and administrative decision-makers.

Job Duties

• Daily engagement with US hospital and office administrators to review coding and payer coverage policies and decisions to enable physician and facility purchase decisions.
• Educate customers (physicians, purchasers, etc.) on reimbursement, payments, and coding.
• Influence the purchasing and/or reimbursement decision-making processes at all levels, including Medical Directors, Clinical, Policy, and C-Suite executives, physicians, billers, revenue cycle managers, VAC Committee members, and national/regional payers.
• Establish critical relationships with a variety of national stakeholders within geography: national and regional health plan medical directors, policy analysts, claims processing, key practice managers, state/national societies.
• Manage case submissions in the Olympus patient access HUB that are in their geography.
• Serve as strategic field lead to develop strategic implementation plans to influence targeted national/regional managed care customers to ensure favorable market access policy of Olympus supported products.
• Provide real-time resolution for reimbursement questions in the office and other settings of care. Educate customers about appropriate billing, prior authorization, and denial resolution steps.
• Provide customers with guidance on payer decision-making processes including coverage policies and guidelines.
• Educate customers about the benefit of Olympus Reimbursement support services and programs and steps to facilitate participation.
• Assure consistent communication and collaboration with field sales teams to ensure proper prioritization of customer engagement and alignment of field-based reimbursement activities. Provide strategic reimbursement oversight in all targeted accounts.
• Lead reimbursement business reviews at key accounts and assist as necessary economic and reimbursement reviews in advance of VAC meetings.
• Contribute to strategic discussions with Olympus Health Economics & Market Access, Reimbursement in the development and review of reimbursement and economic materials and programs. May include project leadership.
• Identify physicians to assist with reimbursement or payer coverage policy revisions.
• Provide customer insights back to corporate reimbursement and sales regarding provider purchase decisions.
• Other duties as assigned.

Qualifications

• Bachelor's degree or equivalent required.
• Minimum of 10 years of relevant experience is required.
• Ability to educate customers on economic and reimbursement models.
• Excellent oral and written communication skills.
• Highly functional in PowerPoint, Excel, Microsoft Word, SalesForce.com.
• Up to 50% travel.

Requirements

• Master’s in Health Care Administration, MPH or MBA is desirable.
• Medical device experience in a field reimbursement and economics position, with responsibilities of educating physicians, practice administrators, and billing departments regarding their understanding of medical device coding, coverage, and payment preferred.
• Coding certifications are preferred (e.g., AAPC CIC or CPC).

Benefits

• Competitive salaries, annual bonus and 401(k)* with company match.
• Comprehensive medical, dental, vision coverage effective on start date.
• 24/7 Employee Assistance Program.
• Free live and on-demand Wellbeing Programs.
• Generous Paid Vacation and Sick Time.
• Paid Parental Leave and Adoption Assistance*.
• 12 Paid Holidays.
• On-Site Child Daycare, Café, Fitness Center**.