Field Reimbursement Manager - Florida Region

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

Benefits offered by this job

401k matching

Employee Stock Purchase Program

Flexible time off

Tuition reimbursement

Job summary

Inspire Medical Systems is seeking a Field Reimbursement Manager in Florida to optimize patient access by reducing reimbursement barriers for providers and patients. You will build relationships with providers, offices, ASCs, and hospital facilities while partnering with internal and external stakeholders to ensure access to Inspire therapy.

You will lead reimbursement programs, deliver coding and coverage education, and support site visits, trainings, and program reviews.

Qualifications

• Bachelor's degree in business, science or healthcare administration required.
• 7+ years of reimbursement/market access experience with Medicare and commercial payers.
• Experience engaging with HCPs in multiple sites of service and in group educational settings.
• Ability to travel regularly up to 25% and work with cross-functional teams.

Responsibilities

• Be subject matter expert on coding, coverage, and payment for Medicare and commercial payers.
• Communicate reimbursement education and resources to customers across multiple sites of service.
• Navigate and address account and patient access issues with external and internal stakeholders.
• Respond to client and partner requests for site visits and program reviews.
• Maintain customer relationships through reimbursement engagement and cross-functional partnerships.
• Collaborate on reimbursement presentations for trainings, site visits, and meetings.

Skills

Reimbursement experience

Communication skills

Independent & team problem solving

Education

Bachelor's degree in business, science or healthcare administration

Coding certification CPC/COC

Tools

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: FLORIDA.

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

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.