Glaucoma Reimbursement Expert — Remote

Glaukos; Atlanta (GA); On-site; USD 90,000 - 120,000; Full time

Job summary

Glaukos is seeking a Reimbursement Liaison (Glaucoma) in Atlanta, GA, to serve as an expert in reimbursement policies and patient/provider support, ensuring access to Glaukos’ sight-saving technologies. Responsibilities include educating HCPs, navigating copay assistance, and addressing payer policies while coordinating with cross-functional teams.

The role requires a Bachelor's degree, 8 years in specialty pharma or surgical devices, and at least 3 years in reimbursement/healthcare policy.

Qualifications

• Bachelor's degree in related field; MBA/MPH preferred.
• 8 years of experience with specialty pharmaceuticals or surgical devices.
• Minimum 3 years direct reimbursement/healthcare policy experience.
• Previous sales, district management, field reimbursement, hospital or practice experience preferred.
• Eyecare experience preferred.
• Payer/insurance coverage experience with Medicare, Medicare Advantage, VA/Tri-Care, Commercial and Medicaid.
• Ability to travel adequately to cover territory, ~50% travel including overnight travel.

Responsibilities

• Educate HCPs on benefit verifications, PA requirements, patient cost share and drug acquisition options.
• Collaborate with Patient Support Specialist to remove access barriers for GPS patients.
• Answer queries on coding, payer policy and approval protocols.
• Provide expertise on copay assistance and patient support programs.
• Educate on appeals processes and handling denied or partially paid claims.
• Lead in completing Business Reviews and Claims Reviews for practices.
• Educate on specialty pharmacy and buy & bill acquisition options.
• Monitor reimbursement trends and liaise with payer team when access is threatened.
• Maintain expertise on regional and national payer landscapes and authorization processes.

Skills

Communication skills

Leadership

Project management

Analytical thinking

Education

Bachelor's degree in related field

MBA or MPH preferred

Job description

Glaukos is seeking a Reimbursement Liaison (Glaucoma) in Atlanta, GA, to serve as an expert in reimbursement policies and patient/provider support, ensuring access to Glaukos’ sight-saving technologies. Responsibilities include educating HCPs, navigating copay assistance, and addressing payer policies while coordinating with cross-functional teams.

The role requires a Bachelor's degree, 8 years in specialty pharma or surgical devices, and at least 3 years in reimbursement/healthcare policy.