Director of Reimbursment

Globus Medical, Inc.; Pennsylvania; Presencial; USD 120.000 - 180.000; Jornada completa

Descripción de la vacante

Globus Medical is seeking a reimbursement leader to drive market access for its musculoskeletal products in the United States. You will shape national strategies, collaborate with senior management, and support sales with payer-focused plans and education.

The role requires deep knowledge of Medicare/Medicaid, private payer policies, and health economics, with strong communication to clinical and executive stakeholders.

Formación

• 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 CPT, HCPCS, and ICD-10 coding systems

Responsabilidades

• Lead reimbursement strategy with senior management and cross-functional teams
• Develop and maintain relationships with surgeon KOLs, providers, and payers
• Provide reimbursement support for national sales teams across product lines
• Lead the GREAT Program to assist surgeons, hospitals, and patients
• Provide in-service reimbursement training to sales and training teams
• Conduct reimbursement presentations to stakeholders
• Lead Patient Access Team and Market Access Team

Conocimientos

Medicare knowledge

Private payer policies

Health economics

Communication skills

Educación

Public health degree

Herramientas

ICD-10 coding

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 are nimble, results-oriented and decisive. 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. We value all employees’ talents and support an environment that is inclusive and respectful.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

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.