Manager, Market Access and Reimbursement - South-Central

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

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401(k) Plan with match

Annual Bonus

Tuition Reimbursement

Paid Time Off

EAP

Job summary

Arthrex is seeking a Manager, Market Access and Reimbursement for the South-Central region (TX, OK, LA, AR, TN, KY, AL). The role leads reimbursement education, policy development, and collaboration with Sales and Regulatory teams to improve patient access to Arthrex technologies.

The position covers a multi-state territory with up to 40% travel. A strong background in US payer policies and coding is required, with advanced degree preferred.

Qualifications

• 5+ years in healthcare delivery or medical device industry.
• Master’s degree or higher is a plus.
• Orthopedic device experience preferred but not required.
• Certified Professional Coder is a plus.
• Knowledge of CPT/HCPCS/ICD-10 and payer coverage requirements.
• Understanding Medicare and commercial payers across settings.

Responsibilities

• Educate and train the Sales team and agencies on US reimbursement.
• Collaborate with Marketing, Sales, Product Management and Regulatory teams.
• Prioritize customer visits to provide education and value-based messages.
• Develop and implement reimbursement and market access strategies.
• Support relationships with physician champions to engage payers.
• Travel up to 40% and ensure compliance with company policies.

Skills

US reimbursement knowledge

Coding & payer policy

CRM experience (Salesforce)

Training & education

Travel readiness

Education

Master’s degree or higher

Tools

Microsoft Office

Analytics / BI software

Job description

Manager, Market Access and Reimbursement - South-Central

Title: Manager, Market Access and Reimbursement - South-Central

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

The territory for this position will cover the following states: Texas, Oklahoma, Louisiana, Alabama, Arkansas, Tennessee, and Kentucky.

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 Reimbursementwill 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
• 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)
• 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.

• 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
• Tuition Reimbursement Program
• Trip of a Lifetime
• Paid Time Off
• 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.