Field Reimbursement Director - Remote

W. L. Gore & Associates, Inc; Phoenix (AZ); Remote; USD 100,000 - 140,000; Full time

Benefits offered by this job

Associate Stock Ownership Plan

Profit-sharing opportunities

Job summary

A leading company is seeking a Field Reimbursement Director to join their Health Economics & Reimbursement team. This remote role involves articulating reimbursement information and economic value for medical devices. The ideal candidate will have extensive experience in reimbursement and healthcare regulations, along with strong communication and analytical skills. Join a diverse and inclusive workplace that values creativity and individual growth.

Qualifications

• Minimum 5 years of experience in reimbursement barriers.
• Demonstrated knowledge of U.S. healthcare reimbursement mechanisms.

Responsibilities

• Support sales organization in Health Economics & Reimbursement.
• Analyze payer mix and develop strategies for reimbursement.

Skills

Communication

Analytical Skills

Excel

Presentation Skills

Education

Bachelor’s Degree

Tools

PowerPoint

Job description

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About the Role: We are looking for a Field Reimbursement Director to join the Health Economics & Reimbursement team. In this role, you will ensure appropriate articulation of reimbursement (coding, coverage, and payment) information as well as economic value for Gore’s medical device portfolio.

This is a remote position, and you can work from home in most locations within the United States.

Responsibilities:

• Work as a field-based member of the Health Economics & Reimbursement team, becoming heavily integrated and linked with Gore’s sales organization as a critical part of an effective institutional selling engine
• Support the sales organization in topics and projects related to Health Economics & Reimbursement, including the appropriate articulation of value to the economic buying influencers within Gore’s target customer set as well as ensuring key customer objectives are clearly communicated back to Gore's Health Economics & Reimbursement team when needed
• Participate in customer engagements as part of the Provider Solutions Group (Provider Selling Organization, Provider Marketing, Health Economics, Business Operations and Clinical Sales) as an active extension of the Health Economics function
• Work with Gore's Health Economics and Outcomes Research team to ensure that the approved value propositions, tools, models and other value messages are fully leveraged within assigned customer accounts
• Collaborate with Reimbursement Strategists to ensure adherence to, and understanding of, federal and local reimbursement and healthcare policies
• Analyze and understand basic payer mix (Medicare / Medicaid / Commercial) as well as other relevant factors for target provider institutions, using tools like Truven Market Scan, Definitive Healthcare, etc
• Investigate, analyze, advise, educate, and develop strategies for addressing coding, coverage, and payment constraints placed by third-party payers (including government) on adoption of medical-device products at the individual healthcare provider, or institutional customer level
• Ensure high level of compliance with all federal and local regulations, along with adherence to professional association code of ethics (e.g., AdvaMed)
• Maintain expert level reimbursement knowledge (coding, coverage, payment) for assigned products and therapies

Required Qualifications:

• Bachelor’s Degree
• Minimum of 5 years of experience working directly with customers to remove reimbursement barriers, and/or payers to gain or improve coverage for products reimbursed under the medical benefit
• Prior experience in delivering reimbursement and economic value messaging, clinical evidence dissemination, and tools to support sales and customers
• Demonstrated knowledge and understanding of U.S. healthcare reimbursement mechanisms and regulations related to reimbursement for medical technology products
• Experience working in medical device industry, hospital administration, managed care, or related health care field
• Strong computer skills, particularly Excel (e.g., for basic economic models), PowerPoint (effective story telling/persuasion)
• Excellent communication ability (both written and presentation ability)
• Travel up to 75%

Desired Qualifications:

• Experience in products and services related to the cardiovascular system, including aortic and peripheral technologies
• Advanced degree in Health Economics, Health Policy, Business Management, Nursing, or a related business/ clinical discipline
• Professional and/or hospital coding certification (e.g., AAPC, AHIMA, etc.)

Remote Working Arrangements are permitted for Associates in the continental United States (US) and Canada, with appropriate approval and compliance with Gore’s remote working policies, from the country in which they are employed. For fully remote roles, the following locations are not eligible for new fully remote work arrangements: Alaska and Hawaii (for all roles), and Rhode Island (for wage/hourly roles only).

What We Offer: Our success is based on the capability and creativity of our Associates, and we are proud to offer a comprehensive and competitive total rewards program that supports your everyday and helps you build your tomorrow.

We provide benefits that offer choice and flexibility and promote overall well-being. And in keeping with our belief that every Associate should share in the collective success of the enterprise; we provide a distinctive Associate Stock Ownership Plan in each country as well as potential opportunities for “profit-sharing”. Learn more at gore.com/careers/benefits

We believe in the strength of a diverse and inclusive workplace. With diverse perspectives, ideas and experiences, we uncover new possibilities and make a greater impact in the world. We are proud of Associates for building on our rich history of innovation, upholding our values and supporting an inclusive work environment where we treat each other and our external partners with fairness, dignity and respect.

Gore is an equal opportunity employer. We welcome all applications irrespective of race, color, religion, sex, gender, national origin, ancestry, age, status as a qualified individual with a disability, genetic information, pregnancy status, medical condition, marital status, sexual orientation, status as a covered veteran, gender identity and expression, and any other characteristic protected by applicable laws and regulations.

Gore is committed to a drug-free workplace. All employment is contingent upon successful completion of drug and background screening. Gore will consider qualified applicants with criminal histories, e.g., arrest and conviction records, in a manner consistent with the requirements of applicable laws.

Gore requires all applicants to be eligible to work within the U.S. Gore generally will not sponsor visas unless otherwise noted on the position description.

For 65 years, Gore has improved lives through discovery, product innovation and rewarding careers for Associates. We push the boundaries of what's possible — not just through our products and technologies but also through individual growth and development.

Copyright 2024 W. L. Gore & Associates, Inc.