Manager, Market Access and Reimbursement - North Central Job Details | Arthrex

Arthrex is hiring a Manager, Market Access and Reimbursement to serve as the primary reimbursement expert for its field teams and support access to Arthrex products. The role develops reimbursement and market-access strategies, trains sales teams, collaborates across departments, and supports customer and physician engagement.

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
• Experience working with a variety of software tools including Microsoft Office Suite and industry leading Analytics and Business Intelligence software
• Master's Degree or other advanced degree is a plus
• 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