Director of Reimbursment

globusmedical; Lower Providence Township (PA); Presencial; USD 110.000 - 150.000; Jornada completa

Descripción de la vacante

Globus Medical is seeking a reimbursement & health economics leader to develop and execute strategic reimbursement plans to gain market access and drive sales of Globus Medical products.

You will monitor coding, coverage and payment issues and collaborate with senior management, regulatory affairs, product development, clinical research, sales and marketing to align reimbursement strategy with company objectives.

Formación

• Demonstrated knowledge of Medicare, Medicaid and private payer policies.
• Experience with new technology reimbursement and health economics.
• Understanding of managed care and insurance industry concepts.
• Familiar with CPT, HCPCS and ICD-10 coding systems.
• Excellent written and verbal communication skills.
• Background in public health, nursing, healthcare economics or related field.

Responsabilidades

• Collaborate with Senior Management and cross-functional teams to align reimbursement strategy with company objectives.
• Develop and maintain relationships with surgeons, providers and payers.
• Support national sales teams with reimbursement for all product lines.
• Lead GREAT program to provide reimbursement education and assistance to surgeons and hospitals.
• Provide tools and guides to help obtain consistent reimbursement for products.
• Monitor reimbursement changes and communicate impact to stakeholders.
• Conduct reimbursement presentations to stakeholders and lead Patient Access Team and Market Access Team.

Conocimientos

Medicare knowledge

Medicaid knowledge

Payer policies

Coding knowledge CPT/HCPCS/ICD-10

Communication skills

Public health background

Educación

4 year degree in public health or related field

Descripción del empleo

At Globus Medical, we move with a sense of urgency to deliver innovations that improve the quality of life of patients with musculoskeletal disorders. Our team is inspired by the needs of these patients, and the surgeons and healthcare providers who treat them. We embrace a culture of exceptional response by partnering with researchers and educators to transform clinical insights into tangible solutions. Our solutions improve the techniques and outcomes of surgery so patients can resume their lives as quickly as possible.

Position Summary:

Responsible for all aspects of reimbursement including development and execution of strategic reimbursement and health economics plans to gain market access and drive sales of Globus Medical products. Effectively monitor and communicate coding, coverage, and payment issues of relevance to all stake holders.

Essential Functions:

• As part of Management Team, work collaboratively with Senior Management, Regulatory Affairs, Product Development, Clinical Research, Business Development, Sales, and Marketing to align reimbursement strategy with objectives of company.
• Develop and maintain relationships with key stake holders including surgeon KOLs, providers, and payers.
• Demonstrated ability to work with organizational decision makers, including medical directors, hospital administrators, C-level management, etc.
• Reimbursement support for national sales teams for all product lines.
• Manage GREAT (Globus Reimbursement Education & Assistance Team) Program to provide reimbursement support to surgeons, hospitals, and patients.
• Provide support and assistance to physicians, facilities and their support staff in the reimbursement process
• Provide necessary support to overcome barriers to coverage and reimbursement
• Appeals assistance for patients and customers
• Provide tactical tools including Reimbursement Guides and Quick Reference Guides to assist surgeons and hospitals obtain appropriate and consistent reimbursement for Globus Medical products.
• Monitor and communicate reimbursement changes
• Research reimbursement trends, coverage issues, and payment methodologies
• Apprise sales force and management team of any/all initiatives that may impact reimbursement
• Provide reimbursement in-service training to sales force and training team
• Apprise sales force and management team of any/all initiatives that may impact reimbursement
• Conduct reimbursement presentations to stakeholders.
• Lead Patient Access Team and Market Access Team

Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.

Qualifications:

• Demonstrated knowledge and experience in Medicare, Medicaid, and private payer policies, reimbursement process and the health care legislative environment
• Experience with new technology reimbursement
• Knowledge of managed care and/or insurance industry
• Knowledge of payment methodologies
• Knowledge of CPT, HCPCS, and ICD-10 coding systems
• Excellent written and verbal communication skills
• 4 year degree in public health, nursing, healthcare economics, business administration, healthcare administration or related fields or equivalent experience
• 5 plus years of medical device reimbursement experience is highly desirable

Physical Demands :

The physical demands listed here are representative of those that must be met by and employee to successfully perform the essential functions of this job.

• Required to sit; climb or balance; and stoop, kneel, crouch or crawl
• Required to regularly lift and/or move up to 10 pounds, and occasionally lift and/or move up to 25 pounds
• Required to possess specific visons abilities, including: close vision, distance vision, color vision, peripheral vision, depth perception and capacity to adjust focus.

Our Values :

Our Life Moves Us philosophy is built on four values: Passionate About Innovation, Customer Focused, Teamwork, and Driven.

• Passionate about Innovation : Improving patient care by delivering advanced technology to our customers is at the core of what we do. We are passionate in our role in improving the lives of patients by continuously developing better solutions.
• Customer Focused : We listen to our customers' needs and respond with a sense of urgency.
• Teamwork : Working together, anything is possible. We value every person on our team and treat each other with respect. We are accountable to one another and support each other. Together, we make each other stronger.
• Driven : We pursue our mission with energy and passion. We overcome obstacles that arise in our quest to deliver solutions that will improve the lives of our customers and patients.

Equal Employment Opportunity :

Globus Medical is an equal opportunity employer. All applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, age, disability, marital status, pregnancy, national origin or citizenship. We are committed to a diverse workforce.