Manager of Market Access and Reimbursement - South-Central

Arthrex, Inc. is a global medical device company and a leader in new product development and medical education in orthopedics. The Manager of Market Access and Reimbursement will serve as the primary reimbursement expert for the field, supporting patient access to Arthrex technologies and products. The role will develop reimbursement strategies, train sales teams, collaborate cross-functionally, and support relationships with physicians, payers, and intermediaries.

Responsibilities:

• Educate and train Arthrex’ Sales team and it’s 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

Requirements:

• 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
• 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
• 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
• Master's Degree or other advanced degree is a plus