Manager, Market Access and Reimbursement - North Central

Arthrex; Illinois; On-site; USD 136,000 - 170,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401(k) Matching

Annual Bonus

Tuition Reimbursement

Job summary

Arthrex, Inc. in the United States is seeking a Manager, Market Access and Reimbursement to lead US reimbursement strategy across our North Central territory.

You will serve as the primary reimbursement expert, educating the sales organization and collaborating with Marketing, Product Management, and Regulatory teams to optimize patient access to Arthrex technologies. Travel up to 40% is required as you partner with physicians, payers, and other stakeholders to develop value-based approaches,

Qualifications

• 5+ years of experience in delivery/administration of healthcare, healthcare insurance plan or medical device industry
• Bachelor’s degree required
• Master’s Degree or other advanced degree is a plus
• Experience in Orthopedic medical devices preferred
• Prior field reimbursement experience in medical device preferred
• Certified Professional Coder is a plus
• Detailed knowledge of medical device billing, coding (CPT, HCPCS, ICD-10)
• Detailed knowledge of payer coverage requirements, Prior Authorization, claim submission, adjudication and appeals processes
• Knowledge of US health care policy, payment systems and contracting methodologies, including Medicare and commercial payers, in inpatient and outpatient, physician office and ASC/HOPD sites of service
• Ability to train sales team members on coding, coverage, reimbursement and contracting concepts clearly
• Demonstrated responsiveness and ability to manage priorities across multiple projects
• Ability to work with ambiguity and adapt in a rapidly changing atmosphere
• Experience working as part of cross-functional teams
• High customer service orientation with strong interpersonal skills
• Ability to prioritize and manage multiple workstreams in a dynamic environment
• Ability to work independently with minimal supervision
• CRM usage experience (e.g., Salesforce)
• Computer literacy (Microsoft Office Suite)
• Must have valid driver’s license and be able to travel US-wide

Responsibilities

• Educate and train Arthrex Sales team and agencies on US reimbursement (coding, coverage, payment, and contracting) for the product portfolio
• Collaborate with Marketing, Sales, Product Management and Regulatory to inform customer-facing tools and economic models to maximize patient access
• Plan and prioritize key customer visits to educate and deliver value-based messages
• Develop and implement reimbursement, market access, and value-based strategies to promote broader patient access
• Develop and support relationships with local physician champions to support payer interactions
• Travel up to 40%
• Ensure compliance within the department and support overall company compliance objectives

Skills

CPT/HCPCS/ICD-10 coding

Payer coverage requirements

Salesforce

US reimbursement knowledge

Education

Bachelor’s degree

Master’s degree or advanced degree

Tools

Microsoft Office Suite

Analytics/BI software

Job description

RequisitionID :

67906

Title :

Manager, Market Access and Reimbursement - North Central

Salary Range:

Salary Minimum: $136,000 Salary Maximum: $170,000

The territory for this position will cover the following states: Michigan, Indiana, Illinois, Missouri, Kansas, Minnesota, Wisconsin, Iowa, Nebraska, North Dakota, South Dakota, Colorado.

Arthrex, Inc. is a global medical device company and a leader in new product development and medical education in orthopedics. Arthrex is actively searching for a Manager of Market Access and Reimbursement in the South-Central states. Join our talented team at a global medical device company focused on Helping Surgeons Treat Their Patients Better.

Main Objective:

The Manager, Market Access and Reimbursement will support the Market Access and Reimbursement department to achieve its mission to connect patients, providers, and payors and ensure patients can access our best-in‑class technologies and products. They will serve as the primary reimbursement expert supporting the field in all areas related to reimbursement of Arthrex products and assist the Director, Market Access and Reimbursement on execution of company strategies related to field reimbursement initiatives, including HCP engagement, support and communication.

This role will work alongside the Sales, Product Management, and Strategic Development teams to improve patient access for our best-in‑class technologies and products.

Essential Duties and Responsibilities:

• Educate and train Arthrex’ Sales team and it’s respective agencies on all aspects of US reimbursement (coding, coverage, payment, and contracting) for the product portfolio and messaging in-person, virtual meetings and on-demand phone calls.

• Collaborate with Marketing, Sales, Product Management and Regulatory teams to anticipate market needs and inform the development of customer‑facing tools, economic models and other tactical elements of reimbursement to maximize patient access to Arthrex’s technologies and products.

• Work in partnership with Sales and Sales leadership to plan and prioritize key customer visits, virtual and ultimately in‑person, to provide education, and deliver value‑based messages to drive patient access

• Develop and implement reimbursement, market access, and value‑based strategies to promote broader access for patients, in alignment with commercial objectives.

• Develop and support relationships with local physician champions to support interactions with payers and intermediaries.

• Travel up to 40%.

• Ensure compliance within functional area and support the compliance objectives of the organization as a whole.

Education and Experience:

• 5+ year(s) of experience working in the delivery and/or administration of healthcare, healthcare insurance plan or the medical device industry required

• Bachelor’s degree required.

• Master’s Degree or other advanced degree is a plus

Knowledge and Skill Requirements/Specialized Courses and/or Training:

• Experience in Orthopedic medical device desired, but not required

• Prior field reimbursement experience in medical device desired, but not required

• Certified Professional Coder is a plus

• Detailed knowledge of medical device billing, coding (e.g., CPT, HCPCS, ICD-10)

• Detailed knowledge of payer coverage requirements, Prior Authorization, claim submission, adjudication and appeals processes

• Knowledge of US health care policy, payment systems and contracting methodologies, including Medicare and commercial payers, in inpatient and outpatient, physician office and ASC/HOPD sites of service

• Ability to train sales team members both individually and in groups regarding coding, coverage, reimbursement and contracting concepts in a way that is easy to understand, credible, and engages the audience

• Demonstrated responsiveness and sense of urgency when pursuing goals and completing tasks. Demonstrated ability to set and manage priorities, while managing multiple projects

• Ability to work with ambiguity and continuously adapt in a rapidly changing atmosphere

• Experience working as part of both functional and cross‑functional teams

• High customer service orientation with outstanding interpersonal skills including developing relationships at all levels in an organization and directly influencing business objectives

• Ability to effectively prioritize and implement multiple workstreams in a dynamic environment of multiple stakeholder audiences

• Ability to work independently and effectively with minimal supervision

• Demonstrated skills in account management and customer service, including use of CRM (e.g., Salesforce)

• Computer literacy (remote connectivity, Microsoft Office Suite)

• Must have a valid driver’s license with a clean motor vehicle record

• Must be able to travel throughout the U.S. via plane, train or vehicle

Machine, Tools, and/or Equipment Skills:

Experience working with a variety of software tools including Microsoft Office Suite and industry leading Analytics and Business Intelligence software.

Arthrex Benefits

• Medical, Dental and Vision Insurance
• Company-Provided Life Insurance
• Voluntary Life Insurance
• Flexible Spending Account (FSA)
• Supplemental Insurance Plans (Accident, Cancer, Hospital, Critical Illness)
• Matching 401(k) Retirement Plan
• Annual Bonus
• Wellness Incentive Program
• Gym Reimbursement Program
• Tuition Reimbursement Program
• Trip of a Lifetime
• Paid Parental Leave
• Paid Time Off
• Volunteer PTO
• Employee Assistance Provider (EAP)
• Eligible for discretionary Long Term Incentive program

All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other status protected by law.