Field Reimbursement Manager - Florida Area

Inspire Medical Systems Inc.; Tallahassee (FL); Remote; USD 160,000 - 190,000; Full time

Benefits offered by this job

401k matching

ESPP

Tuition reimbursement

Flexible time off

Job summary

Inspire Medical Systems seeks a Field Reimbursement Manager to optimize patient access by partnering with providers, payers, and cross-functional teams. You will address coverage challenges and drive payer-ready strategies in a fast-paced, provider-facing role.

This remote-friendly position requires 7+ years in reimbursement, a Bachelor’s degree in a health-related field, and willingness to travel up to 25%. CPC/COC is a plus. Competitive salary and benefits offered.

Qualifications

• Bachelor’s degree in business, science or healthcare administration required.
• 7+ years of reimbursement/market access experience with complex insurance payer claims.
• Knowledge in coding, coverage, and payment for implantable medical devices.
• Experience engaging with HCPs in multiple sites of service.
• Excellent communication and presentation skills.
• Ability to travel up to 25%.
• Independent and team-oriented problem solving.

Responsibilities

• Be subject matter expert on coding, coverage, and payment for Medicare and commercial payers.
• Explain reimbursement education, support, and resources to customers.
• Navigate account and patient access issues with internal and external stakeholders.
• Respond to client and internal partner requests for site visits and program reviews.
• Maintain customer relationships through reimbursement engagement and cross-functional partnerships.
• Execute on access and reimbursement strategic priorities with business partners.
• Develop reimbursement presentations for site visits and trainings.
• Keep abreast of CMS and payer trends affecting Inspire.
• Support additional responsibilities as needed.

Skills

Communication skills

Presentation skills

Problem solving

Teamwork

Ability to travel

Independent work

Stakeholder management

Education

Bachelor’s degree in business, science or healthcare administration

Coding certification (CPC, COC)

Job description

ABOUT INSPIRE MEDICAL SYSTEMS

Inspire is the first of its kind medical device designed to make a difference in the lives of those living with Obstructive Sleep Apnea (OSA). We are revolutionizing the sleep industry with our FDA-approved medical device, designed to reduce OSA severity for those who cannot tolerate or get consistent benefit from CPAP. Inspire Medical Systems is committed to enhancing patients’ lives through sleep innovation. We are steadfast in our commitment to prioritize patient outcomes, act with integrity and lead with respect. With positive persistence at our core, we are committed to all those we serve.

WHY JOIN OUR FAST-GROWING TEAM

At Inspire, we value people – your diverse experiences, backgrounds, and thoughts. We elevate voices and encourage learning opportunities to build a professional network that grows into community. We embrace a people-first culture by offering excellent benefits, 401k matching, ESPP, flexible time off (FTO), and tuition reimbursement. If you’re passionate about making a difference in people’s lives and want to work with innovative technology, come be a part of our great team!

Considering remote candidates in the following locations: FL, OR, DI

ESSENTIAL JOB FUNCTIONS

We are recruiting a Field Reimbursement Manager to join our team. In this provider/customer facing role, you will be instrumental in providing support to optimize Inspire access and minimize reimbursement barriers for patients and providers. You will be building relationships with providers, providers’ offices, Ambulatory Surgery Centers, hospital outpatient facilities, as well as other cross functional internal and external stakeholders. You will be working independently in a fast paced, highly visible environment as well as collaboratively with the internal program prior authorization support services and field sales to ensure all customer needs are met supporting patient therapy access and communicating coverage challenges across specific payer channels with guidance on how to navigate and minimize those potential hurdles. You will also actively engage with new accounts for billing and coding training, audit education, and program review support.

OPPORTUNITIES YOU WILL HAVE IN THIS ROLE

Be the subject matter expert on coding, coverage, and payment for Medicare and commercial payers and impact patient access through complex problem solving

Effectively communicate and explain Inspire reimbursement education, support, and resources to customers in multiple sites of service including administrators

Both proactively and reactively navigate and address individual account and patient access issues that occur by partnering with external and internal stakeholders including internal reimbursement team and field sales colleagues

Respond to client and internal partner requests for customer site visits, Inspire program business reviews, and reimbursement needs/support

Establish and maintain customer relationships through reimbursement related engagement and cross-functional partnerships including Sales, Marketing, Medical Education, and Legal and Compliance, etc.

Execute on access and reimbursement strategic priorities, working with business partners to identify and prioritize key accounts for alignment of reimbursement support to achieve goals

Collaborate in the development of reimbursement presentations for site visits, trainings, client presentations and other meetings as appropriate

Keep abreast of ever-changing market dynamics and industry trends Inspire related impacts regarding to CMS and commercial payers

Work in a fast-paced environment and manage additional related responsibilities based on organizational needs

Build a culture of compliance that ensures that all activities are fully aligned with company quality system procedures/policies, applicable laws, regulations, and industries standards

WHAT YOU CAN BRING TO OUR GREAT TEAM

Required:

• Bachelor’s degree in business, science or healthcare administration required
• 7+ years of experience in reimbursement/market access and/or Successful experience working with complex insurance payer claims, denials, and appeals (Medicare and commercial)
• Demonstrated knowledge in coding, coverage, and payment for implantable medical devices across the healthcare landscape including HCPs, ASCs, hospitals
• Experience engaging directly with HCPs in multiple sites of service and in group educational settings
• Excellent communication and in person and virtual presentation skills to interface with customers, cross-functional partners, and internal reimbursement and prior authorization partners
• Independent and team-oriented problem solving and diligent self-motivated follow up
• Direct experience collaborating with multiple internal and external stakeholders and managing project
• Ability to travel regularly and up to 25%

Preferred:

• Implantable medical device experience
• Experience with Neurology products
• Coding certification (CPC, COC)

#LI-Remote

SALARY

The salary for this position will be offered at a level consistent with the experience and qualifications of the candidate. This information reflects the anticipated salary range for this position at the time of posting. The salary range may be modified in the future and actual compensation may vary from the posting based on various factors such as geographic location, work experience, education and/or skill level.

Salary $160,000—$190,000 USD

BENEFITS AND OTHER COMPENSATION

Inspire offers a highly competitive benefits package including ( general description of the benefits and other compensation offered ):

• Multiple health insurance plan options.
• Employer contributions to Health Savings Account.
• Dental, Vision, Life and Disability benefits.
• 401k plan + employer match.
• Identity Protection.
• Flexible time off.
• Tuition Reimbursement.
• Employee Assistance program.
• All employees have the opportunity to participate in the ownership and success of Inspire. Employees at all levels can participate through equity awards and the Employee Stock Purchase Program.

Inspire Medical Systems provides equal employment opportunity (EEO) to all employees and applicants without regard to race, color, religion, creed, sex, national origin, age, disability, marital status, familial status, sexual orientation, status regarding public assistance, membership or activity in a local commission, military or veteran status, genetic information, pregnancy or childbirth, or any other status protected by applicable federal, state, and local laws. This policy applies to all aspects of the employment relationship, including recruitment, hiring, compensation, promotion, transfer, disciplinary action, layoff, return from layoff, training, and social and recreational programs. Inspire Medical Systems complies with applicable laws governing non-discrimination in employment in every location in which Inspire Medical Systems has facilities. All such employment decisions will be made without unlawfully discriminating on any prohibited basis.

Inspire Medical Systems is an equal opportunity employer with recruitment efforts focused on ensuring a diverse workforce. Applicants with a disability that need accommodation to complete the Inspire Medical Systems application process should contact Human Resources at or email careers@inspiresleep(dot)com

Inspire Medical Systems participates in E-Verify.