Manager - Reimbursement, Health Economics & Market Access

ZipRecruiter; Farmington (NM); Remote; USD 90,000 - 130,000; Full time

Job summary

A leading company in healthcare consulting seeks a Manager of Reimbursement, Health Economics and Market Access to join their team in Farmington. This pivotal role involves conducting reimbursement research, executing strategies, and managing client deliverables, while collaborating closely with senior leadership. Candidates should possess a strong analytical skillset, a relevant degree, and significant experience in reimbursement or market access within the MedTech industry. Remote work opportunities are available.

Qualifications

• 2-5+ years of experience in reimbursement or market access required.
• Strong academic background in humanities, sciences, and social sciences.
• Excellent oral and written communication skills.

Responsibilities

• Conduct primary research independently and manage client interactions.
• Prepare and present project deliverables summarizing research.
• Manage project timelines, budgets, and develop strategy recommendations.

Skills

Research

Analytical Skills

Problem Solving

Communication Skills

Organizational Skills

Knowledge of Medical Terminology

Education

Bachelor's degree

Advanced degree preferred

Tools

Microsoft Office

Job description

Job Description

Salary:

The Manager of Reimbursement, Health Economics and Market Access (RHEMA) will be a critical member of PRIAs RHEMA team, reporting directly to Sr. Leadership in RHEMA. This role will conduct reimbursement research and other consulting activities within the RHEMA team for PRIAs client base, with a focus on coverage, coding, payment and policy research, while staying abreast of key policy decisions within the healthcare ecosystem.

This role will also execute reimbursement strategies, under the direction of the Sr. Leadership teams at PRIA, in particular with coding, coverage and payment execution, including interviews with payers and providers; and preparation and presentation of client deliverables. This position may also be filled at the Senior Manager level, depending on experience.

Responsibilities

• Conduct primary research independently and manage and interact with clients with minimal supervision.
• Prepare deliverables (in Microsoft Office and other programs) that summarize research of RHEMA team and present implications and recommendations for clients.
• Present project findings to clients with minimal assistance from senior leaders.
• Present research and findings to colleagues and clients.
• Manage project content review, development, timelines, and budgets; connect policy and payment research to definitive recommendations for clients.
• Manage and lead applications and interactions with CMS, including for NTAP, TPT, New Tech APC, HCPCS, and ICD-10 applications.
• Manage and lead applications and interactions with specialty societies and AMA pertaining to CPT.
• Manage and lead applications and interactions with PDAC pertaining to HCPCS code verification.
• Stay abreast of key reimbursement and market access policy issues impacting clients.
• Oversee ongoing monitoring and knowledge development of assigned policy and therapeutic areas.
• Utilize knowledge in healthcare reimbursement systems to be a resource to colleagues and clients.
• Lead project teams of peers and junior staff.
• Own responsibility for the quality of deliverables.
• Own responsibility for developing and confirming strategy recommendations with minimal assistance from senior leaders.
• Participate, as needed, in business development and proposal activities.

Required Qualifications

• 2-5+ years of experience in reimbursement, market access, or a similar background in the MedTech industry or consulting is required for this position.
• A bachelor's degree with a strong academic background and a rich exposure to the humanities, the sciences, and the social sciences. Advanced degree preferred.
• Strong research, analytical, quantitative, and problem-solving skills.
• Excellent oral and written communication skills.
• Excellent organizational and prioritization skills with the ability to handle multiple tasks and meet deadlines while working independently.
• Strong intellectual curiosity and a desire to develop an in-depth understanding of systems, business processes, and complex issues.
• Ability to read, analyze, and interpret complex documents.
• Knowledge of medical, anatomical, and physiological terminology.
• Proficiency with Microsoft Office (Word, PowerPoint, Excel) and internet applications.
• Strong professionalism with customer relationships.
• Self-directed and proactive attitude with the ability to identify key processes and new services needed by clients.
• Potential for travel to the company's office, for client meetings, and conferences.

Remote work available.